Active NPI
Julio Cesar Vasquez, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- M9688
- Practice address
- 777 Hospital Way
Pocatello, ID 83201-2753 - Phone
- (208) 239-2850
- Fax
- (208) 239-2589
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | M9688 | ID | Primary |
Addresses
Primary practice location
777 Hospital Way
Pocatello, ID 83201-2753
Mailing address
777 Hospital Way Ste 215
Pocatello, ID 83201-5162
Phone (208) 239-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1710
Hospital & facility affiliations
- Portneuf Medical Center
- Bear Lake Memorial Hospital
- Caribou Medical Center
- Bingham Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 16 |
| Leg revascularization (restoring blood flow) | 19 |
| Removal of tissue | 141 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9688 | ID | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Hospital LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients |
Locations
777 Hospital Way
Ste 101
Pocatello, ID 83201
Phone (208) 234-2001
777 Hospital Way
Ste 215
Pocatello, ID 83201
Phone (208) 239-2580
777 Hospital Way
Ste G11
Pocatello, ID 83201
Phone (208) 239-1710
444 Hospital Way
Ste 777
Pocatello, ID 83201
Phone (208) 233-4455
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000
777 Hospital Way
#G11
Pocatello, ID 83201
Phone (208) 239-1710
777 Hospital Way
Ste G1
Pocatello, ID 83201
Phone (208) 234-2001
Interoperability endpoints
- jvasquez179535@ahs.direct-ci.com
Organizations & group practices 4
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
- Pocatello, ID
- NPI 1689802852
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
-
- Internal Medicine Physician
- Pocatello, ID
- NPI 1760610935
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Montpelier, ID
- NPI 1336125533
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- Critical Access Hospital
- Soda Springs, ID
- NPI 1942970272
-
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1497824007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 HOSPITAL WAY STE 215",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015162",
"telephone_number": "208-239-2580",
"fax_number": "208-239-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HOSPITAL WAY",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012753",
"telephone_number": "208-239-2850",
"fax_number": "208-239-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "JULIO",
"middle_name": "CESAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "ID",
"license": "M9688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.