Individual provider Active NPI

Steven V Klippert, MD

  • Anesthesiology Physician
  • Idaho Falls, ID
National Provider Identifier
1568540706
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M5044 Issued in ID
Practice address
1975 Martha Ave
Ste. B
Idaho Falls, ID 83404-7580
Phone
(208) 522-4598
Fax
(208) 529-3915
NPI assigned
Nov 2, 2006
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M5044 ID Primary

Addresses

Primary practice location

1975 Martha Ave
Ste. B
Idaho Falls, ID 83404-7580

Mailing address

1975 Martha Ave Ste B
Idaho Falls, ID 83404-7580
Phone (208) 522-4958

Other identifiers 1

IdentifierTypeStateIssuer
001205200MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5044IDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain River Birthing and Surgery Center LLC PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1568540706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MARTHA AVE STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047580",
            "telephone_number": "208-522-4958",
            "fax_number": "208-529-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 MARTHA AVE",
            "address_2": "STE. B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047580",
            "telephone_number": "208-522-4598",
            "fax_number": "208-529-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIPPERT",
        "first_name": "STEVEN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ID",
            "license": "M5044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001205200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.