NPIMap

Individual provider Active NPI

Gene K. Hodges, M.D.

  • Adult Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1316055320
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
M4937 Issued in ID
Practice address
2065 E 17TH St
Suite a
Idaho Falls, ID 83404-8042
Phone
(208) 522-3301
Fax
(208) 522-3414
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X M4937 ID
Family Medicine Physician 207Q00000X M4937 ID
Adult Medicine Physician 207QA0505X M4937 ID Primary

Addresses

Primary practice location

2065 E 17TH St
Suite a
Idaho Falls, ID 83404-8042

Mailing address

2065 E 17TH St Ste a
Idaho Falls, ID 83404-8042
Phone (208) 522-3301

Other identifiers 2

IdentifierTypeStateIssuer
000316100MedicaidID
1117710OtherIDMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071212000722 ID Practitioner - Family Practice 0648360727 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Community Council of Idaho, Inc.Group PAC ID 6204877467, 18 clinicians

Practice addresses (Care Compare)

2065 E 17TH St
Suite a
Idaho Falls, ID 83404-8042

2065 E 17TH St a
Idaho Falls, ID 83404-8042
Phone (208) 522-3301

2100 Alan St
Idaho Falls, ID 83404-5801
Phone (208) 528-7655

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions17
Removal or shaving of skin growth11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4937IDMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Council of Idaho, Inc Family Medicine Current Accepting new patients
Community Council of Idaho, Inc. Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Gene K Hodges MD Family Medicine PastSince Jan 1, 1990 Accepting new patients
St Mark's Professional Services, LLC Past Accepting new patients
Community Council of Idaho, Inc. Family Medicine Past Accepting new patients
Gene K. Hodges M.D. Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

1491 Parkway Dr
Blackfoot, ID 83221
Phone (208) 435-2379

2100 Alan St
Idaho Falls, ID 83404
Phone (208) 470-7979

4002 E 397 N
Ste 3
Rigby, ID 83442
Phone (208) 228-2200

Interoperability endpoints

  • Direct secure messaging: gene.hodges.1@16437.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 6

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1316055320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-3301",
            "fax_number": "208-522-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST",
            "address_2": "SUITE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-3301",
            "fax_number": "208-522-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "GENE",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "ID",
            "license": "M4937",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M4937",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "ID",
            "license": "M4937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000316100",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1117710",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.