Active NPI
Niba Fuhnwi Nchotu, D.O.
- Hospitalist Physician
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- DO216470
- Practice address
- 415 6TH St
Lewiston, ID 83501 - Phone
- (512) 730-3056
- Fax
- (888) 730-1925
- NPI assigned
- Apr 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101019807 | MI | |
| Internal Medicine Physician | 207R00000X | OC0033 | ID | |
| Hospitalist Physician | 208M00000X | DO216470 | OR | Primary |
Addresses
Primary practice location
415 6TH St
Lewiston, ID 83501
Mailing address
7500 Rialto Blvd Ste 1-140
Austin, TX 78735-8534
Phone (512) 730-3056
Other practice location 1
601 John St
Kalamazoo, MI 49007-5341
Phone (269) 341-8481
Other practice location 2
601 John St
Kalamazoo, MI 49007-5341
Phone (269) 341-8481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID, SD, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5545
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Providence Medford Medical Center
- Deaconess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC0033 | ID | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Washington, PC | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Incyte Pathology, PLLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Sound Physicians of Idaho | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000
1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
202 N Division St
Auburn, WA 98001
Phone (253) 333-2562
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- nnchotu330938@direct.multicare.org
Organizations & group practices 20
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Family Medicine Physician
- Medford, OR
- NPI 1568547503
Internal Medicine
-
- Emergency Medicine Physician
- Coeur D Alene, ID
- NPI 1235288655
-
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
- Emergency Care Clinic/Center
- Yankton, SD
- NPI 1861611683
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
-
- Rehabilitation Hospital Unit
- Coeur D Alene, ID
- NPI 1659476455
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1861430522
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1326086745
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1063711562
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1366709792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 RIALTO BLVD STE 1-140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787358534",
"telephone_number": "512-730-3056",
"fax_number": "888-730-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 6TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "83501",
"telephone_number": "512-730-3056",
"fax_number": "888-730-1925"
}
],
"practiceLocations": [
{
"address_1": "601 John St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490075341",
"country_code": "US",
"telephone_number": "269-341-8481",
"fax_number": "269-341-7781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 John St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490075341",
"country_code": "US",
"telephone_number": "269-341-8481",
"fax_number": "269-341-7781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NCHOTU",
"first_name": "NIBA",
"middle_name": "FUHNWI",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101019807",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "OC0033",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OR",
"license": "DO216470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.