NPIMap

Individual provider Active NPI

Hans Thurgood Redd, MD

  • Pediatrics Physician
  • Rexburg, ID
National Provider Identifier
1558348649
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M 7079 Issued in ID
Practice address
100 SHC
Rexburg, ID 83460-2010
Phone
(208) 496-1300
Fax
(208) 496-1306
NPI assigned
Dec 29, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M 7079 ID
Pediatrics Physician 208000000X M 7079 ID Primary

Addresses

Primary practice location

100 SHC
Rexburg, ID 83460-2010

Mailing address

100 SHC BLDG
Rexburg, ID 83460
Phone (208) 496-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040128000499 ID Practitioner - Internal MedicinePractitioner - Emergency Medicine 3779486741 Reassigns benefits to 6 organizations
I20110628000918 TX Practitioner - Internal MedicinePractitioner - Family Practice 3779486741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Utah School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lost Rivers Medical CenterGroup PAC ID 7810807427, shared by 4 NPIs, 16 clinicians

Practice addresses (Care Compare)

166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-1110

551 Highland Dr
Arco, ID 83213-5003
Phone (208) 252-7654

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M 7079IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lost Rivers Medical Center CurrentSince Dec 10, 2019 Accepting new patients
Bear Lake County Memorial Hospital Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince May 15, 2011 Accepting new patients
BMH, Inc. Internal Medicine Current Accepting new patients
BMH, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Lost Rivers Medical Center CurrentSince Dec 10, 2019 Accepting new patients
Bear Lake County Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
BMH, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Northwest Emergency Physicians LLC Past Accepting new patients
Teton Valley Health Care Inc Past Accepting new patients
Byu Idaho Student Health Center Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

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

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

166 S 5th St
Montpelier, ID 83254
Phone (208) 847-1110

350 E Devon Ave
Itasca, IL 60143

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

Interoperability endpoints

  • Direct secure messaging: hans.redd.2@11894.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1558348649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHC BLDG",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "83460",
            "telephone_number": "208-496-1300",
            "fax_number": "208-496-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHC",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834602010",
            "telephone_number": "208-496-1300",
            "fax_number": "208-496-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "HANS",
        "middle_name": "THURGOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M 7079",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M 7079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.