Individual provider Active NPI

John Carl Morgenstern, M.D.

  • Gastroenterology Physician
  • Lewiston, ID
National Provider Identifier
1740386432
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M-11337 Issued in ID
Practice address
415 6TH St
Lewiston, ID 83501
Phone
(208) 743-3998
NPI assigned
Sep 16, 2006
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M-11337 ID Primary

Addresses

Primary practice location

415 6TH St
Lewiston, ID 83501

Mailing address

415 6TH Street
Attn: Physician Services
Lewiston, ID 83501-2434
Phone (208) 750-7462

Other practice location 1

307 Saint Johns Way Ste 1
Lewiston, ID 83501-2435
Phone (208) 743-3998

Other identifiers 3

IdentifierTypeStateIssuer
1740386432MedicaidID
64271950MedicaidKY
000000049730OtherANTHEM INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110714000840 ID Practitioner - Gastroenterology 1456529536 Reassigns benefits to 1 organization
I20120830000729 WA Practitioner - Gastroenterology 1456529536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rutgers School of Dental Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Hospital LLCGroup PAC ID 8325325806, shared by 6 NPIs, 91 clinicians

Practice addresses (Care Compare)

1221 Highland Ave
Clarkston, WA 99403-2829
Phone (509) 758-5511

2315 8TH St
Lewiston, ID 83501-7301
Phone (208) 793-5920

307 Saint Johns Way
Suite 1
Lewiston, ID 83501-2435
Phone (208) 743-3998

415 6TH St
Lewiston, ID 83501-2431

821 21St Ave
Lewiston, ID 83501-6389
Phone (208) 799-3422

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy221
Upper gastrointestinal (GI) endoscopy for acid reflux319

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital LLC CurrentSince May 1, 2017 Accepting new patients
St Joseph Hospital LLC CurrentSince May 1, 2017 Accepting new patients
Tri-State Digestive Disease Assoc PSC. Gastroenterology Current Accepting new patients
St. Joseph Hospital LLC Past Accepting new patients

Locations

1630 23rd Ave
Ste 701
Lewiston, ID 83501
Phone (208) 743-3998

307 Saint Johns Way
Ste 1
Lewiston, ID 83501
Phone (208) 743-3998

307 Saint Johns Way
Ste 17
Lewiston, ID 83501
Phone (208) 746-7055

341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

504 6th St
Lewiston, ID 83501
Phone (208) 799-5000

625 6th Ave
Lewiston, ID 83501
Phone (208) 743-8226

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

617 23rd St
Ste 11
Ashland, KY 41101
Phone (606) 324-3188

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

1242 11th St
Clarkston, WA 99403
Phone (208) 401-9618

835 SE Bishop Blvd
#140
Pullman, WA 99163
Phone (509) 332-2541

Interoperability endpoints

  • Direct secure messaging: john.morgenstern.1@16883.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 3

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1740386432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH STREET",
            "address_2": "ATTN: PHYSICIAN SERVICES",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012434",
            "telephone_number": "208-750-7462",
            "fax_number": "208-750-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "83501",
            "telephone_number": "208-743-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Saint Johns Way Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835012435",
            "country_code": "US",
            "telephone_number": "208-743-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGENSTERN",
        "first_name": "JOHN",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "M-11337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740386432",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64271950",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE",
            "identifier": "000000049730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.