Active NPI
Hilary Zitlau
- Physician Assistant
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3345 Potomac Way
Idaho Falls, ID 83404-4978 - Phone
- (208) 522-7572
- NPI assigned
- Mar 12, 2020
- Last updated
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Pocatello PLLC | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| BMH Inc. | Current | 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
- 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.
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
dba Community Care Pocatello
- Family Medicine Physician
- Pocatello, ID
- NPI 1538517156
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1295009785
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Healthcare Specialty Clinic-Martha
- Surgery Physician
- Idaho Falls, ID
- NPI 1922512722
-
dba 1st Choice Urgent Care & Medical Center-Chubbuck
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
- Urgent Care Clinic/Center
- Pocatello, ID
- NPI 1265714760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.