Individual provider Active NPI

Dustin L Ziebarth, D.O.

  • Family Medicine Physician
  • Twin Falls, ID
National Provider Identifier
1750644456
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0895 Issued in ID
Practice address
388 Martin St
Twin Falls, ID 83301-4544
Phone
(208) 737-0451
Fax
(208) 734-0452
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0895 ID Primary

Addresses

Primary practice location

388 Martin St
Twin Falls, ID 83301-4544

Mailing address

388 Martin St
Twin Falls, ID 83301-4544
Phone (208) 737-0451

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
I20151116002063 ID Practitioner - Family Practice 8628222635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific Medical College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

388 Martin St
Twin Falls, ID 83301-4544
Phone (208) 734-0451

788 Martin
Twin Falls, ID 83301
Phone (208) 734-1281

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-0895IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation CurrentSince Dec 1, 2015 Accepting new patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation CurrentSince Dec 1, 2015 Accepting new patients
Family Health Services Corporation Family Medicine Past Accepting new patients
Family Health Services Corporation Family Medicine Past Accepting new patients
Family Health Services Corporation Family Medicine Past Accepting new patients
Family Health Services Corporation Family Medicine Past Accepting new patients
Family Health Services Corporation Family Medicine Past Accepting new patients
Family Health Services Corporation Family Medicine Past Accepting new patients
Family Health Services Corporation Family Medicine Past Accepting new patients
Family Health Services Corporation Family Medicine Past Accepting new patients

Locations

621 N Main St
Bellevue, ID 83313
Phone (208) 725-3145

725 Fair St
Buhl, ID 83316
Phone (208) 543-8271

1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198

218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471

114 Pioneer Ct
Jerome, ID 83338
Phone (208) 324-3471

402 6th St
Rupert, ID 83350
Phone (208) 650-7941

651 S Beverly St
Shoshone, ID 83352
Phone (208) 886-2224

388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451

794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312

325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101

Interoperability endpoints

  • Direct secure messaging: dustin.ziebarth.p1@direct.fhsid.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1750644456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 MARTIN ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014544",
            "telephone_number": "208-737-0451",
            "fax_number": "208-734-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 MARTIN ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014544",
            "telephone_number": "208-737-0451",
            "fax_number": "208-734-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEBARTH",
        "first_name": "DUSTIN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.