Active NPI
Gene K Hodges MD
- Family Medicine Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GENE K HODGES MD
- Practice address
- 2065 E 17TH St
Suite a
Idaho Falls, ID 83404-8042 - Phone
- (208) 522-3301
- Fax
- (208) 522-3414
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gene K Hodges, MD
- Title
- Owner
- Phone
- (208) 522-3301
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adult Medicine Physician | 207QA0505X | M4937 | ID | |
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
2065 E 17TH St
Suite a
Idaho Falls, ID 83404-8042
Mailing address
2065 E 17TH St
Suite a
Idaho Falls, ID 83404-8042
Phone (208) 522-3301
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000316100 | Medicaid | ID | |
| 1164755104 | Other | ID | INDIVIDUAL NPI NUMBER |
| 1316055320 | Other | ID | INDIVIDUAL NPI NUMBER |
| 808464700 | Medicaid | ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D1041378 | Gene K Hodges MD | Certificate of waiver | Apr 17, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Gene K Hodges MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1366984437
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1659405140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2065 E 17TH ST",
"address_2": "SUITE A",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048042",
"telephone_number": "208-522-3301",
"fax_number": "208-522-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 E 17TH ST",
"address_2": "SUITE A",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048042",
"telephone_number": "208-522-3301",
"fax_number": "208-522-3414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENE K HODGES MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "GENE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-522-3301",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "ID",
"license": "M4937",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000316100",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1164755104",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1316055320",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808464700",
"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 Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.