Active NPI
Karin Schmidova, MD
- Surgery Physician
- Orofino, ID
National Provider Identifier
1295949519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 46691
- Practice address
- 301 Cedar St
Orofino, ID 83544 - Phone
- (208) 476-4555
- Fax
- (208) 476-5385
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M13299 | ID | |
| Surgery Physician | 208600000X | 46691 | CO | Primary |
Addresses
Primary practice location
301 Cedar St
Orofino, ID 83544
Mailing address
301 Cedar St
Orofino, ID 83544-9029
Phone (208) 476-4555
Other practice location 1
1900 N Boise Ave
420
loveland, CO 80538
Phone (970) 669-3212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59202254 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160720001023 | ID | Practitioner - General Surgery | 5991872152 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46691 | CO | MD | Surgery Physician |
| M13299 | ID | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| St. Mary'S Hospital Inc | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| St. Mary'S Hospital Inc | Current | Accepting new patients | |
| St. Mary'S Hospital Inc | Past | Accepting new patients |
Locations
701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251
501 Oak St
Nezperce, ID 83543
Phone (208) 937-2496
301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555
Interoperability endpoints
- karinschmidova@cvhsmh.medalliesdirect.net
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
-
- Family Medicine Physician
- Orofino, ID
- NPI 1891733747
-
- Family Medicine Physician
- Nezperce, ID
- NPI 1366480394
-
- Family Medicine Physician
- Kamiah, ID
- NPI 1568400562
-
- Family Medicine Physician
- Cottonwood, ID
- NPI 1174577100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1295949519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CEDAR ST",
"city": "OROFINO",
"state": "ID",
"postal_code": "835449029",
"telephone_number": "208-476-4555",
"fax_number": "208-476-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CEDAR ST",
"city": "OROFINO",
"state": "ID",
"postal_code": "83544",
"telephone_number": "208-476-4555",
"fax_number": "208-476-5385"
}
],
"practiceLocations": [
{
"address_1": "1900 N Boise Ave",
"address_2": "420",
"address_purpose": "LOCATION",
"city": "loveland",
"state": "CO",
"postal_code": "80538",
"country_code": "US",
"telephone_number": "970-669-3212",
"fax_number": "970-669-6162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIDOVA",
"first_name": "KARIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "M13299",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "46691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59202254",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orofino, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.