Individual provider Active NPI

Jared M Kam, MD

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1508194580
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M12027 Issued in ID
Practice address
1151 Hospital Way BLDG D
Pocatello, ID 83201-5091
Phone
(208) 478-2449
NPI assigned
Dec 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M12027 ID Primary

Addresses

Primary practice location

1151 Hospital Way BLDG D
Pocatello, ID 83201-5091

Mailing address

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 782-3763

Other identifiers 1

IdentifierTypeStateIssuer
1518194580MedicaidID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130830000106 ID Practitioner - Family Practice 1850585035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians

Practice addresses (Care Compare)

1151 Hospital Way
BLDG D
Pocatello, ID 83201-5091
Phone (208) 239-8008

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

4742 Yellowstone Ave
Pocatello, ID 83202-2336
Phone (208) 251-0316

4750 Yellowstone Ave
Pocatello, ID 83202-2336
Phone (208) 233-1720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M12027IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. Current Accepting new patients
BMH, Inc. Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
BMH Inc Current Accepting new patients
BMH, Inc CurrentSince Jul 1, 2013 Accepting new patients
Optimum Health, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Valley View Health Services, Inc. Past Accepting new patients
BMH Inc. Past Accepting new patients

Locations

1350 Parkway Dr
Ste A
Blackfoot, ID 83221

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

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

1151 Hospital Way
#D100
Pocatello, ID 83201
Phone (208) 239-8010

1151 Hospital Way
Ste D100
Pocatello, ID 83201

500 S 11th Ave
Ste 501
Pocatello, ID 83201
Phone (208) 232-7434

1151 Hospital Way
Bldg D
Pocatello, ID 83201
Phone (208) 237-2446

4750 Yellowstone Ave
Ste B
Pocatello, ID 83202
Phone (208) 232-8792

4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720

353 N 4th Ave
Ste 102
Pocatello, ID 83201
Phone (208) 478-7900

275 W Locust St
Ste B
Shelley, ID 83274

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

Interoperability endpoints

  • Direct secure messaging: jaredkam@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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1508194580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211758",
            "telephone_number": "208-782-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 HOSPITAL WAY BLDG D",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015091",
            "telephone_number": "208-478-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAM",
        "first_name": "JARED",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M12027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518194580",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.