Individual provider Active NPI

Sye Speth, DO

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1568087435
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MRO-1973 Issued in ID
Practice address
465 Memorial Dr
Pocatello, ID 83201-4008
Phone
(208) 234-4700
NPI assigned
Jun 16, 2020
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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 MRO-1973 ID Primary

Addresses

Primary practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Mailing address

1222 Freeman LN Apt 2
Pocatello, ID 83201-2131

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
I20230719002676 ID Practitioner - Family Practice 4082036686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
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)

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

3302 Valencia Dr
Idaho Falls, ID 83404-7058
Phone (208) 535-3635

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. Current Accepting new patients
BMH, Inc. Family Medicine CurrentSince Aug 15, 2023 Accepting new patients
BMH, Inc. CurrentSince Aug 15, 2023 Accepting new patients
BMH Inc CurrentSince Aug 15, 2023 Accepting new patients
BMH Inc Family Medicine Past Accepting new patients
BMH, Inc Family Medicine Past Accepting new patients
BMH, Inc. Family Medicine Past Accepting new patients
BMH Inc. Past Accepting new patients
Mountain River Birthing and Surgery Center LLC Past Accepting new patients

Locations

3456 E 17th St
Ste 125
Ammon, ID 83406
Phone (208) 529-2828

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

1740 E 17th St
Idaho Falls, ID 83404
Phone (208) 346-8866

3302 Valencia Dr
Ste 120
Idaho Falls, ID 83404
Phone (208) 535-3635

3302 Valencia Dr
Ste 120B
Idaho Falls, ID 83404
Phone (208) 535-3635

3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400

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

850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065

275 W Locust St
Ste A
Shelley, ID 83274

Interoperability endpoints

  • Direct secure messaging: syespeth@bmh.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1568087435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 FREEMAN LN APT 2",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MEMORIAL DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014008",
            "telephone_number": "208-234-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETH",
        "first_name": "SYE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRO-1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.