Individual provider Active NPI

John L. Torquato, M.D.

  • Family Medicine Physician
  • Hayden, ID
National Provider Identifier
1417901638
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-7938 Issued in ID
Practice address
265 W. Prairie Ave.
Hayden, ID 83835-8442
Phone
(208) 772-7850
Fax
(208) 772-2313
NPI assigned
May 20, 2006
Last updated
Aug 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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 M-7938 ID Primary

Addresses

Primary practice location

265 W. Prairie Ave.
Hayden, ID 83835-8442

Mailing address

265 W. Prairie
Hayden, ID 83835-8442
Phone (208) 772-7850

Other identifiers 1

IdentifierTypeStateIssuer
8058948MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 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
I20100524000859 ID Practitioner - Family Practice 4688696073 Reassigns benefits to 2 organizations
I20140225001672 WA Practitioner - Family Practice 4688696073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medical Care PLLCGroup PAC ID 6305029331, 2 clinicians

Practice addresses (Care Compare)

12405 N Wilson St
Mead, WA 99021-9664
Phone (208) 772-7850

265 W Prairie Shopping Ctr
Hayden, ID 83835-9855
Phone (208) 772-7850

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-7938IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Care PLLC Family Medicine CurrentSince Jan 5, 2011 Accepting new patients
Family Medical Care Clinics Corporation a Professional Association Family Medicine CurrentSince Oct 4, 2017 Accepting new patients
Total Health Physician Group LLC Family Medicine PastSince Jan 1, 2008 Accepting new patients
Community Healthcare of the Palouse Family Medicine Past Accepting new patients
Caring Physician's Medical Clinic Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.torquato.1@16387.direct.athenahealth.com

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

Hospital & facility affiliations 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1417901638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 W. PRAIRIE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358442",
            "telephone_number": "208-772-7850",
            "fax_number": "208-772-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W. PRAIRIE AVE.",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358442",
            "telephone_number": "208-772-7850",
            "fax_number": "208-772-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORQUATO",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-7938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8058948",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

Verify at the official NPI Registry.