Organization Active NPI

Jonathan Barrus DO PC

  • Family Medicine Physician
  • Emmett, ID
National Provider Identifier
1699375659
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JONATHAN BARRUS DO PC
Practice address
2020 S Johns Ave Ste B
Emmett, ID 83617-9410
Phone
(208) 369-4340
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Jonathan Bret BarrusNPI 1346654589
Title
Physician/Owner
Phone
(208) 369-4340

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2020 S Johns Ave Ste B
Emmett, ID 83617-9410

Mailing address

2020 S Johns Ave Ste B
Emmett, ID 83617-9410
Phone (208) 369-4340

Other names 1

  • Gem Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210630000052 ID Part B Supplier - Clinic/Group Practice 8729489620 Receives reassigned benefits from 6 practitioners
Practice locations: Emmett, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2227796Gem Family Medicine2020 S Johns Ave Ste B, Emmett, ID 83617Provider-performed microscopyJun 16, 2027

National Provider Directory

National Provider Directory

Locations

2020 S Johns Ave
Emmett, ID 83617

2020 S Johns Ave
Ste B
Emmett, ID 83617
Phone (208) 369-4340

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23758/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1699375659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S JOHNS AVE STE B",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179410",
            "telephone_number": "208-369-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S JOHNS AVE STE B",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179410",
            "telephone_number": "208-369-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN BARRUS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BARRUS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "BRET",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "208-369-4340"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gem Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emmett, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.