Gregory R Ball, DO
Individual provider Active NPI Pulmonary Disease Physician · Twin Falls, ID
NPI 1407985278 · NPPES record last updated Jan 16, 2015
Key facts
- NPI
- 1407985278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- O0575 (ID)
- Practice address
- 775 Pole Line Rd W
Suite 315
Twin Falls, ID 83301-5814 - Phone
- (208) 814-8750
- Fax
- (208) 814-8937
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dandg Medical Associates PLLC
St Lukes Clinic LLC
Practice addresses (Care Compare)
1430 W Ustick Rd
Suite 100
Meridian, ID 83646-7734
Phone (208) 286-8670
746 N College Rd
Twin Falls, ID 83301-3486
775 Pole Line Rd W
Twin Falls, ID 83301-5823
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Hospital & facility affiliations
- St Lukes Magic Valley Medical Center
- St Luke'S Wood River Medical Center
- Cassia Regional Hospital
- St Luke'S Regional Medical Center
- Minidoka Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100806000484 | ID | Practitioner - Pulmonary Disease |
8325171689 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O0575 | ID | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&G Medical Associates PLLC | Current |
Accepting new patients | |
| St Luke'S Clinic LLC | Current |
Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
200 W Beech St
Caldwell, ID 83605
Phone (208) 459-3335
1430 W Ustick Rd
Ste 100
Meridian, ID 83646
2105 12th Ave Rd
Nampa, ID 83686
Phone (208) 467-5121
775 Pole Line Rd W
Ste 315
Twin Falls, ID 83301
Phone (208) 814-8750
801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000
746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCBGBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | O0575 | ID | |
| Pulmonary Disease Physician | 207RP1001X | O0575 | ID | Yes |
Addresses
Primary practice location
775 Pole Line Rd W
Suite 315
Twin Falls, ID 83301-5814
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407985278 | Medicaid | ID | |
| P0034096 | Other | ID | MCRR |
Other providers in Twin Falls, ID
- Bettie Baker
- Deseret Baker
- John A Baker
- Balance Regenerative Medicine PLLC
- Balanced Health PC
- Todd Robert Banks
- Barbara J Jensen MD PC
- Connor Barbour
- Bryce R Barfuss
- Jonathan D Barker
All providers in Twin Falls, ID · Pulmonary Disease Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.