Individual provider Active NPI

Josh Sirucek, D.O.

  • Family Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1487066643
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO208318 Issued in OR
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

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID2 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
I20220124002389 OR Practitioner - Emergency MedicinePractitioner - Family Practice 9234434333 Reassigns benefits to 2 organizations
I20241210002267 ID Practitioner - Emergency Medicine 9234434333 Reassigns benefits to 2 organizations

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
Altitude Sport and Spine PLLCGroup PAC ID 4486129384, 2 clinicians
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

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 Hospital, Idaho Falls, ID, CCN 130065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO05204IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Jan 1, 2023 Accepting new patients
Morrow County Health District CurrentSince Dec 15, 2021 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Mountain View Hospital LLC CurrentSince Oct 4, 2024 Accepting new patients
Morrow County Health District CurrentSince Dec 15, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.