Individual provider Active NPI

Robert Calvin Root, D.O.

  • Emergency Medicine Physician
  • Burley, ID
National Provider Identifier
1619314036
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
O-1947 Issued in ID
Practice address
1501 Hiland Ave
Burley, ID 83318-2688
Phone
(208) 678-4444
NPI assigned
May 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q8785 TX
Emergency Medicine Physician 207P00000X O-1947 ID Primary

Addresses

Primary practice location

1501 Hiland Ave
Burley, ID 83318-2688

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Other practice location 1

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-4600

Other practice location 2

1224 8th St
Rupert, ID 83350-1599
Phone (208) 436-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170320002582 TX Practitioner - Emergency Medicine 5193000891 Reassigns benefits to 2 organizations
I20240605002950 ID Practitioner - Emergency Medicine 5193000891 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Emergency PhysiciansGroup PAC ID 1153307277, 151 clinicians

Practice addresses (Care Compare)

1501 Hiland Ave
Burley, ID 83318-2688
Phone (888) 352-1041

Hospital & facility affiliations

  • Cassia Regional Hospital Hospital, Burley, ID, CCN 131326
  • Minidoka Memorial Hospital Hospital, Rupert, ID, CCN 131319

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
85.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-1947IDMDEmergency Medicine Physician
Q8785TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Canyon Medical Center Inc. Current Accepting new patients
Ihc Health Services Inc CurrentSince May 22, 2024 Accepting new patients
Minidoka Memorial Hospital CurrentSince Jan 17, 2025 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 13, 2018 Accepting new patients
Minidoka Memorial Hospital CurrentSince Jan 17, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince May 22, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Utah Emergency Physicians Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
North Canyon Medical Center, Inc. CurrentSince May 15, 2024 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince May 15, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Nov 1, 2020 Accepting new patients

Locations

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

200 Corporate Blvd
Lafayette, LA 70508

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

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 and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1619314036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HILAND AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182688",
            "telephone_number": "208-678-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-4600",
            "fax_number": "915-545-7338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 8th St",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501599",
            "country_code": "US",
            "telephone_number": "208-436-0481",
            "fax_number": "208-436-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOT",
        "first_name": "ROBERT",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q8785",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-1947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

Verify at the official NPI Registry.