Active NPI
Josh Sirucek, D.O.
- Family Medicine Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO208318
- Practice address
- 1582 Elk Creek Dr
Idaho Falls, ID 83404-8322 - Phone
- (208) 213-5256
- NPI assigned
- May 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO05204 | IA | |
| Family Medicine Physician | 207Q00000X | DO208318 | OR | Primary |
Addresses
Primary practice location
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Mailing address
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone (208) 213-5256
Other practice location 1
5409 Avenue O
Fort Madison, IA 52627-9601
Phone (319) 376-2134
Other practice location 2
3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (514) 523-1797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone (208) 213-5256
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
Hospital & facility affiliations
- Mountain View Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO05204 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Medical Center Baker City, Inc | Current | Accepting new patients | |
| Morrow County Health District | Current | Accepting new patients | |
| Saint Alphonsus Medical Center Baker City, Inc | Family Medicine | Current | Accepting new patients |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Morrow County Health District | Current | Accepting new patients |
Locations
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
1582 Elk Creek Dr
Idaho Falls, ID 83404
Phone (208) 213-5256
3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342
3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797
Interoperability endpoints
- jsirucek2355461@direct.trinity-health.org
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Sports Medicine (Family Medicine) Physician
- Idaho Falls, ID
- NPI 1992663595
-
- Medicare Defined Swing Bed Hospital Unit
- Heppner, OR
- NPI 1770514481
-
- Family Medicine Physician
- Baker City, OR
- NPI 1881726206
-
- Rural Health Clinic/Center
- Ione, OR
- NPI 1477945517
-
- Critical Access Hospital
- Baker City, OR
- NPI 1386636355
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1487066643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1582 ELK CREEK DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048322",
"telephone_number": "208-213-5256",
"fax_number": "877-682-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1582 ELK CREEK DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048322",
"telephone_number": "208-213-5256"
}
],
"practiceLocations": [
{
"address_1": "5409 Avenue O",
"address_purpose": "LOCATION",
"city": "Fort Madison",
"state": "IA",
"postal_code": "526279601",
"country_code": "US",
"telephone_number": "319-376-2134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3325 Pocahontas Rd",
"address_purpose": "LOCATION",
"city": "Baker City",
"state": "OR",
"postal_code": "978141464",
"country_code": "US",
"telephone_number": "514-523-1797",
"fax_number": "514-523-1799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIRUCEK",
"first_name": "JOSH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-22",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO05204",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO208318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.