NPIMap

Individual provider Active NPI

Hira Siktel, MD

  • Internal Medicine Physician
  • Chubbuck, ID
National Provider Identifier
1477790962
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD437511 Issued in PA
Practice address
4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone
(208) 904-4780
Fax
(208) 904-4832
NPI assigned
Jan 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X M12398 ID
Internal Medicine Physician 207R00000X MD437511 PA Primary

Addresses

Primary practice location

4511 Zebe Ave
Chubbuck, ID 83202-4707

Mailing address

4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone (208) 904-4780

Other identifiers 1

IdentifierTypeStateIssuer
1477790962MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hirasiktel@ikillp.allscriptsdirect.net Direct

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
I20140701001439 ID Practitioner - Internal MedicinePractitioner - Nephrology 2062558471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Idaho Kidney Institute LLPGroup PAC ID 9032155312, 14 clinicians
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians
BMH IncGroup PAC ID 8426149758, 137 clinicians

Practice addresses (Care Compare)

1501 Hiland Ave
Suite M
Burley, ID 83318-2688
Phone (208) 904-4780

2305 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-1764

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

2330 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234

2351 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-7310

2353 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-4823

2375 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone (208) 904-4780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD437511PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Kidney Institute LLP Nephrology CurrentSince Jul 1, 2014 Accepting new patients
BMH, Inc. CurrentSince Jul 1, 2014 Accepting new patients
BMH Inc Current Accepting new patients
BMH, Inc. CurrentSince Jul 1, 2014 Accepting new patients
BMH, Inc. Internal Medicine Current Accepting new patients
Transtreme, LLC PastSince Dec 13, 2022 Accepting new patients

Locations

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Fl 3
Blackfoot, ID 83221

235 Poplar St
Blackfoot, ID 83221
Phone (208) 785-3828

1501 Hiland Ave
Ste M
Burley, ID 83318
Phone (208) 352-7555

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400

1259 Pier View Dr
Idaho Falls, ID 83402

2381 E Sunnyside Rd
Idaho Falls, ID 83404
Phone (208) 523-8500

3195 S Fork Blvd
Idaho Falls, ID 83402
Phone (208) 357-4870

2381 E Sunnyside Rd
Ste 607
Idaho Falls, ID 83404

444 Hospital Way
Ste 607
Pocatello, ID 83201
Phone (208) 589-3844

350 N Haven Dr
Twin Falls, ID 83301
Phone (208) 735-3914

Interoperability endpoints

  • Direct secure messaging: hirasiktel@ikillp.allscriptsdirect.net
  • Direct secure messaging: hsiktel262158@ahs.direct-ci.com
  • Direct secure messaging: hirasiktel@bmh.medalliesdirect.net

Organizations & group practices 7

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 11

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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1477790962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ZEBE AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024707",
            "telephone_number": "208-904-4780",
            "fax_number": "208-904-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ZEBE AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024707",
            "telephone_number": "208-904-4780",
            "fax_number": "208-904-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKTEL",
        "first_name": "HIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ID",
            "license": "M12398",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD437511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477790962",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hirasiktel@ikillp.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "hirasiktel@ikillp.allscriptsdirect.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hirasiktel@ikillp.allscriptsdirect.net",
            "address_1": "4511 Zebe Ave",
            "city": "Chubbuck",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832024707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.