Active NPI
David Lyle Hill, DO
- Family Medicine Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0-0718
- Practice address
- 3200 Channing Way Ste 304
Idaho Falls, ID 83404-7546 - Phone
- (208) 535-4567
- Fax
- (208) 535-4569
- NPI assigned
- May 23, 2010
- Last updated
- Nov 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0-0718 | ID | Primary |
Addresses
Primary practice location
3200 Channing Way Ste 304
Idaho Falls, ID 83404-7546
Mailing address
PO Box 742337
Atlanta, GA 30374-2337
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 Channing Way
Suite 304
Idaho Falls, ID 83404-7546
Phone (208) 535-4567
Hospital & facility affiliations
- Symbii Home Health
- Brio Idaho Healthcare
- Aspen Home Health Services
- Advanced Home Health
- Onesource Home Health
- Eastern Idaho Regional Medical Center
- Mountain View Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 12 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0-0718 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Falls Family Medicine, LLC | Family Medicine | Current | Accepting new patients |
Locations
3200 Channing Way
Ste 304
Idaho Falls, ID 83404
Phone (208) 535-4567
3242 S Woodruff Ave
Idaho Falls, ID 83404
Phone (208) 535-4567
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- david.hill@hca3.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1619221405
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1366686826
-
- Home Health Agency
- Pocatello, ID
- NPI 1457858052
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1285189548
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1518980770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1689993271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742337",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CHANNING WAY STE 304",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047546",
"telephone_number": "208-535-4567",
"fax_number": "208-535-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "DAVID",
"middle_name": "LYLE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-23",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "0-0718",
"primary": true
}
],
"identifiers": [],
"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 Nov 25, 2020; 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.