Organization Active NPI

Medical Consulting Services, LLC

Doing business as Medical Consulting Services

  • Health Service Clinic/Center
  • Hayden Lake, ID
National Provider Identifier
1477086932
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
M4860 Issued in ID
Legal business name
MEDICAL CONSULTING SERVICES, LLC
Doing business as
Medical Consulting Services
Practice address
10533 N Lakeview Dr
Hayden Lake, ID 83835
Phone
(208) 514-0518
Fax
(208) 493-8759
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
John Casper, MDNPI 1275642191
Title
Owner
Phone
(208) 514-0518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X M4860 ID Primary
Adult Mental Health Clinic/Center 261QM0850X M4860 ID

Addresses

Primary practice location

10533 N Lakeview Dr
Hayden Lake, ID 83835

Mailing address

9030 N Hess St Ste 474
Hayden, ID 83835-9827
Phone (208) 514-0518

Other identifiers 2

IdentifierTypeStateIssuer
1275642191OtherIDNPI
1275642191MedicaidID

Other names 1

  • Medical Consulting Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180503002619 ID Part B Supplier - Clinic/Group Practice 4082978754 Receives reassigned benefits from 2 practitioners
Practice locations: Hayden, ID

National Provider Directory

National Provider Directory

Locations

3023 E Copper Point Dr
Ste 110
Meridian, ID 83642
Phone (208) 514-0518

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1477086932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 N HESS ST STE 474",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359827",
            "telephone_number": "208-514-0518",
            "fax_number": "208-493-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10533 N LAKEVIEW DR",
            "city": "HAYDEN LAKE",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-514-0518",
            "fax_number": "208-493-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "CASPER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-514-0518",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ID",
            "license": "M4860",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "ID",
            "license": "M4860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275642191",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275642191",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Consulting Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Consulting Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayden Lake, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.