Individual provider Active NPI

Hilary Zitlau

  • Physician Assistant
  • Idaho Falls, ID
National Provider Identifier
1740816511
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3345 Potomac Way
Idaho Falls, ID 83404-4978
Phone
(208) 522-7572
NPI assigned
Mar 12, 2020
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3345 Potomac Way
Idaho Falls, ID 83404-4978

Mailing address

PO Box 277381
Atlanta, GA 30384-7381

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603000994 ID Practitioner - Physician Assistant 8123449907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH IncGroup PAC ID 8426149758, 137 clinicians

Practice addresses (Care Compare)

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

3302 Valencia Dr
Idaho Falls, ID 83404-7058
Phone (208) 535-3635

4742 Yellowstone Ave
Pocatello, ID 83202-2336
Phone (208) 251-0316

4750 Yellowstone Ave
Pocatello, ID 83202-2336
Phone (208) 233-1720

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Pocatello PLLC Current Accepting new patients
BMH, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Mountain View Hospital LLC CurrentSince Mar 10, 2020 Accepting new patients
BMH Inc. CurrentSince Apr 1, 2024 Accepting new patients
BMH Inc Current Accepting new patients
BMH, Inc. Past Accepting new patients

Locations

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

1350 Parkway Dr
Ste A
Blackfoot, ID 83221

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

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

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100

3302 Valencia Dr
Ste 120
Idaho Falls, ID 83404
Phone (208) 535-3635

3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400

765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600

1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032

4750 Yellowstone Ave
Pocatello, ID 83202
Phone (208) 240-3733

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

850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065

275 W Locust St
Ste A
Shelley, ID 83274

Interoperability endpoints

  • Direct secure messaging: hilaryzitlau@bmh.medalliesdirect.net

Organizations & group practices 8

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 1

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1740816511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277381",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 POTOMAC WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044978",
            "telephone_number": "208-522-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITLAU",
        "first_name": "HILARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.