Individual provider Active NPI

Craig G Steiner, MD

  • Family Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1710477500
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-15687 Issued in ID
Practice address
3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone
(208) 552-7700
Fax
(208) 552-1786
NPI assigned
May 16, 2018
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 11390481-1205 UT
Family Medicine Physician 207Q00000X M-15687 ID Primary

Addresses

Primary practice location

3820 Crestwood LN
Idaho Falls, ID 83404-4979

Mailing address

3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone (208) 552-7700

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
I20210527003238 ID Practitioner - Family Practice 2163821984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family First Medical Center PLLCGroup PAC ID 1052480076, 18 clinicians

Practice addresses (Care Compare)

3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone 2085527700837

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11390481-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medical Center, PLLC Family Medicine CurrentSince May 17, 2021 Accepting new patients
Community Council of Idaho, Inc. Family Medicine CurrentSince Apr 21, 2024 Accepting new patients
Community Council of Idaho, Inc Family Medicine CurrentSince Apr 21, 2024 Accepting new patients
Community Council of Idaho, Inc. Family Medicine Past Accepting new patients

Locations

1491 Parkway Dr
Blackfoot, ID 83221
Phone (208) 435-2379

2100 Alan St
Idaho Falls, ID 83404
Phone (208) 470-7979

3820 Crestwood Ln
Idaho Falls, ID 83404
Phone (208) 552-7700

4002 E 397 N
Ste 3
Rigby, ID 83442
Phone (208) 228-2200

Interoperability endpoints

  • Direct secure messaging: craig.steiner.1@16437.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1710477500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 CRESTWOOD LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044979",
            "telephone_number": "208-552-7700",
            "fax_number": "208-552-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 CRESTWOOD LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044979",
            "telephone_number": "208-552-7700",
            "fax_number": "208-552-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINER",
        "first_name": "CRAIG",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "11390481-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-15687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.