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Individual provider Active NPI

Jonathan Matthew Sharrett, DO

  • Radiation Oncology Physician
  • Post Falls, ID
National Provider Identifier
1275910960
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
O-1379 Issued in ID
Practice address
1641 E Polston Ave Ste 102
Post Falls, ID 83854-7852
Phone
(208) 755-2804
Fax
(208) 765-0277
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X OP61043781 WA
Radiation Oncology Physician 2085R0001X O-1379 ID Primary

Addresses

Primary practice location

1641 E Polston Ave Ste 102
Post Falls, ID 83854-7852

Mailing address

3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804

Other practice location 1

3815 N Schreiber Way Ste 101
Coeur D Alene, ID 83815-8362
Phone (208) 755-2804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200717002163 WA Practitioner - Radiation Oncology 3678876216
I20200911001270 ID Practitioner - Radiation Oncology 3678876216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Cancer Care PLLC 15 clinicians

Practice addresses (Care Compare)

1641 E Polston Ave
Suite 102
Post Falls, ID 83854-7852
Phone (208) 755-2804

Hospital & facility affiliations

  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-1379IDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Cancer Care PLLC Radiation Oncology CurrentSince Dec 1, 2022 Accepting new patients
Beacon Cancer Care PLLC CurrentSince Nov 17, 2024 Accepting new patients
Cancer Care Northwest Centers P S PastSince Jul 27, 2026 Accepting new patients
Michael Kos MD, PS Radiation Oncology Past Accepting new patients

Locations

3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815
Phone (208) 755-2804

980 W Ironwood Dr
Ste 207
Coeur D Alene, ID 83814
Phone (208) 755-2804

1641 E Polston Ave
Ste 102
Post Falls, ID 83854
Phone (208) 618-5212

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1275910960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E POLSTON AVE STE 102",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547852",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 N Schreiber Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838158362",
            "country_code": "US",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARRETT",
        "first_name": "JONATHAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "OP61043781",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ID",
            "license": "O-1379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.