NPIMap

Individual provider Active NPI

James Thomson, M.D.

  • Internal Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1396070611
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-14515 Issued in ID
Practice address
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone
(208) 529-6111
NPI assigned
Oct 4, 2009
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5062855-1205 UT
Hospitalist Physician 208M00000X M-14515 ID
Internal Medicine Physician 207R00000X M-14515 ID Primary

Addresses

Primary practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Mailing address

PO Box 3299
Carson City, NV 89702-3299

Other practice location 1

2860 Channing Way Ste 220
Idaho Falls, ID 83404-7541
Phone (208) 535-4000

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
I20190226002619 ID Practitioner - Internal Medicine 4183870744 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minidoka Memorial HospitalGroup PAC ID 7315908894, 38 clinicians
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, 119 clinicians
Santibanez Pac IdahoGroup PAC ID 2961846209, 7 clinicians

Practice addresses (Care Compare)

1224 8TH St
Rupert, ID 83350-1527
Phone 20843604813167

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111

3620 Potomac Way
Idaho Falls, ID 83404-8286
Phone (208) 528-0467

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5062855-1205UTMDInternal Medicine Physician
M-14515IDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Idaho CurrentSince Jan 1, 2024 Accepting new patients
Minidoka Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Jul 1, 2019 Accepting new patients
Minidoka Memorial Hospital Family Medicine Past Accepting new patients
Idaho Falls of Cascadia, LLC PastSince Apr 16, 2023 Accepting new patients
Idaho Behavioral Health Services, LLC PastSince Mar 1, 2013 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist Past Accepting new patients
Idaho Falls North of Cascadia, LLC Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

3111 Channing Way
Idaho Falls, ID 83404
Phone (208) 259-6111

3620 Potomac Way
Idaho Falls, ID 83404
Phone (208) 238-0088

840 E Elva St
Idaho Falls, ID 83401
Phone (208) 523-4795

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Teton Healthcare of CascadiaIdaho Falls, ID, CCN 135138 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 16, 2023
Feb 26, 2025
Eagle Rock Health and Rehabilitation of CascadiaIdaho Falls, ID, CCN 135092 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2023
Jul 2, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1254614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1396070611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3299",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897023299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047533",
            "telephone_number": "208-529-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2860 Channing Way Ste 220",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047541",
            "country_code": "US",
            "telephone_number": "208-535-4000",
            "fax_number": "208-535-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-04",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5062855-1205",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-14515",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-14515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.