Organization Active NPI

Twin Falls Internal Medicine PLLC

  • Internal Medicine Physician
  • Twin Falls, ID
National Provider Identifier
1710865852
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TWIN FALLS INTERNAL MEDICINE PLLC
Practice address
414 Shoup Ave W Ste B
Twin Falls, ID 83301-5027
Phone
(208) 650-3126
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Kevin Owens, MDNPI 1235332305
Title
Ceo
Phone
(332) 330-3903

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

414 Shoup Ave W Ste B
Twin Falls, ID 83301-5027

Mailing address

21 Granada PL
Burley, ID 83318-2703

Other practice location 1

603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (509) 962-9841

Other practice location 2

502 W 4th Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

Other practice location 3

709 N Lincoln Ave
Jerome, ID 83338-1851
Phone (208) 814-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223000862 ID Part B Supplier - Clinic/Group Practice 3577058908 Receives reassigned benefits from 1 practitioner
Practice locations: Twin Falls, 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
13D2334172Twin Falls Internal Medicine414 Shoup Ave W Ste B, Twin Falls, ID 83301Certificate of waiverNov 16, 2027

National Provider Directory

National Provider Directory

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": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1710865852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRANADA PL",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SHOUP AVE W STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015027",
            "telephone_number": "208-650-3126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 S Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263875",
            "country_code": "US",
            "telephone_number": "509-962-9841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Toppenish",
            "state": "WA",
            "postal_code": "989481616",
            "country_code": "US",
            "telephone_number": "509-865-3105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Jerome",
            "state": "ID",
            "postal_code": "833381851",
            "country_code": "US",
            "telephone_number": "208-814-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TWIN FALLS INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "332-330-3903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.