Individual provider Active NPI

Thomas Call, DO

  • Family Medicine Physician
  • Blackfoot, ID
National Provider Identifier
1699723569
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O222 Issued in ID
Practice address
9 Airport Rd
Blackfoot, ID 83221-1702
Phone
(208) 782-3700
Fax
(208) 782-3765
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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 O222 ID
Family Medicine Physician 207Q00000X O222 ID Primary

Addresses

Primary practice location

9 Airport Rd
Blackfoot, ID 83221-1702

Mailing address

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 782-3700

Other identifiers 9

IdentifierTypeStateIssuer
S4026OtherIDBCID
000010150482OtherIDREGENCE BLUE SHIELD
312944OtherIDALTIUS
S5643OtherIDBLUE CROSS OLD
000010140863OtherIDBSID
1699723569MedicaidMT
S6114OtherIDBLUE CROSS
266530OtherIDALTIUS OLD
Z3649MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208001069 ID Practitioner - Family Practice 4587615497 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O222IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH Inc. Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

3456 E 17th St
Ste 125
Ammon, ID 83406
Phone (208) 529-2828

350 N Meridian St
Blackfoot, ID 83221
Phone (208) 782-0300

1350 Parkway Dr
Ste A
Blackfoot, ID 83221

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

326 Poplar St
Blackfoot, ID 83221
Phone (208) 785-5801

98 Poplar St
Fl 1
Blackfoot, ID 83221

9 Airport Rd
Blackfoot, ID 83221
Phone (208) 782-3700

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720

275 W Locust St
Ste A
Shelley, ID 83274

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1699723569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211758",
            "telephone_number": "208-782-3700",
            "fax_number": "208-782-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 AIRPORT RD",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211702",
            "telephone_number": "208-782-3700",
            "fax_number": "208-782-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALL",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O222",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCID",
            "identifier": "S4026",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010150482",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "312944",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OLD",
            "identifier": "S5643",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSID",
            "identifier": "000010140863",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699723569",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "S6114",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS OLD",
            "identifier": "266530",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z3649",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

Verify at the official NPI Registry.