Active NPI
Tim John Lee Ochoa, DO
- Emergency Medicine Physician
- St Maries, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- O-0978
- Practice address
- 229 S 7TH St
St Maries, ID 83861-1803 - Phone
- (208) 245-5551
- Fax
- (208) 245-5246
- NPI assigned
- Jul 13, 2011
- Last updated
- Sep 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | O-0978 | ID | Primary |
| Family Medicine Physician | 207Q00000X | O-0978 | ID | |
| Hospitalist Physician | 208M00000X | O-0978 | ID |
Addresses
Primary practice location
229 S 7TH St
St Maries, ID 83861-1803
Mailing address
229 S 7TH St
St Maries, ID 83861-1803
Phone (208) 245-5551
Other practice location 1
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221
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
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Benewah Community Hospital
Practice addresses (Care Compare)
229 S 7TH St
St Maries, ID 83861-1803
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-0978 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoshone Medical Center | Current | Accepting new patients | |
| Shoshone Medical Center | Family Medicine | Current | Accepting new patients |
Locations
25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
-
dba St Maries Family Medicine
- Rural Health Clinic/Center
- St Maries, ID
- NPI 1386632180
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1609164417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 S 7TH ST",
"city": "ST MARIES",
"state": "ID",
"postal_code": "838611803",
"telephone_number": "208-245-5551",
"fax_number": "208-245-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 S 7TH ST",
"city": "ST MARIES",
"state": "ID",
"postal_code": "838611803",
"telephone_number": "208-245-5551",
"fax_number": "208-245-5246"
}
],
"practiceLocations": [
{
"address_1": "25 Jacobs Gulch Rd",
"address_purpose": "LOCATION",
"city": "Kellogg",
"state": "ID",
"postal_code": "838372023",
"country_code": "US",
"telephone_number": "208-784-1221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OCHOA",
"first_name": "TIM",
"middle_name": "JOHN LEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-13",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "O-0978",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O-0978",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ID",
"license": "O-0978",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Maries, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.