NPIMap

Individual provider Active NPI

Tyson Dean Steel, D.O.

  • Internal Medicine Physician
  • Rupert, ID
National Provider Identifier
1750709796
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
O0888 Issued in ID
Practice address
1308 8TH St Ste 1
Rupert, ID 83350-1535
Phone
(208) 436-4322
Fax
(208) 436-1312
NPI assigned
Apr 5, 2014
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X O0888 ID Primary

Addresses

Primary practice location

1308 8TH St Ste 1
Rupert, ID 83350-1535

Mailing address

1224 8TH Street
Rupert, ID 83350-1527
Phone (208) 434-8236

Other practice location 1

1224 8th Street
Rupert, ID 83350-1527
Phone (208) 436-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728002155 ID Practitioner - Internal Medicine 8628349321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minidoka Memorial HospitalGroup PAC ID 7315908894, shared by 4 NPIs, 38 clinicians

Practice addresses (Care Compare)

1224 8TH St
Rupert, ID 83350-1527
Phone (208) 436-0481

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O0888IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minidoka Memorial Hospital Internal Medicine CurrentSince Jun 6, 2017 Accepting new patients
Minidoka Memorial Hospital CurrentSince Jun 6, 2017 Accepting new patients
Minidoka Memorial Hospital Past Accepting new patients

Locations

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322

Interoperability endpoints

  • Direct secure messaging: tsteel626327@direct.ochin.org
  • Direct secure messaging: tysonsteel@minidokamh.securechart.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Countryside Care and RehabRupert, ID, CCN 135064 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 7

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": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1750709796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 8TH STREET",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501527",
            "telephone_number": "208-434-8236",
            "fax_number": "208-436-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 8TH ST STE 1",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501535",
            "telephone_number": "208-436-4322",
            "fax_number": "208-436-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 8th Street",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501527",
            "country_code": "US",
            "telephone_number": "208-436-0481",
            "fax_number": "208-436-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEEL",
        "first_name": "TYSON",
        "middle_name": "DEAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-05",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "O0888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

Verify at the official NPI Registry.