Individual provider Active NPI

Jonathan Bret Barrus, D.O.

  • Family Medicine Physician
  • Emmett, ID
National Provider Identifier
1346654589
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MRO-1406 Issued in ID
Practice address
2020 S Johns Ave Ste B
Emmett, ID 83617-9410
Phone
(208) 369-4340
NPI assigned
Jun 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRO-1406 ID Primary

Addresses

Primary practice location

2020 S Johns Ave Ste B
Emmett, ID 83617-9410

Mailing address

2020 S Johns Ave Ste B
Emmett, ID 83617-9410
Phone (208) 369-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160906002281 ID Practitioner - Family Practice 8628295839 Reassigns benefits to 1 organization
I20170630001264 OR Practitioner - HospitalistPractitioner - Family Practice 8628295839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Barrus DO PCGroup PAC ID 8729489620, 5 clinicians

Practice addresses (Care Compare)

2020 S Johns Ave
Suite B
Emmett, ID 83617-9410
Phone (208) 369-4340

Hospital & facility affiliations

  • Horizon Home Health West Home health agency, Caldwell, ID, CCN 137135
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MRO-1406IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group PC CurrentSince Jun 13, 2017 Accepting new patients
Apogee Medical Group PC Current Accepting new patients
Jonathan Barrus DO PC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Apogee Medical Group PC CurrentSince Jun 13, 2017 Accepting new patients
Walter Knox Memorial Hospital Current Accepting new patients

Locations

2020 S Johns Ave
Ste B
Emmett, ID 83617
Phone (208) 369-4340

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23758/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
  • Direct secure messaging: jonathan.barrus.1@23758.direct.athenahealth.com
  • Direct secure messaging: jbarrus@valorhealth.cernerdirect.com

Organizations & group practices 5

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 3

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1346654589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S JOHNS AVE STE B",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179410",
            "telephone_number": "208-369-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S JOHNS AVE STE B",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179410",
            "telephone_number": "208-369-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRUS",
        "first_name": "JONATHAN",
        "middle_name": "BRET",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRO-1406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.