Active NPI
Kevin S Hill, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Pocatello, ID
National Provider Identifier
1780769075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- M-5852
- Practice address
- 777 Hospital Way
Suite G15
Pocatello, ID 83201-5175 - Phone
- (208) 239-2722
- Fax
- (208) 239-3759
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | M-5852 | ID | Primary |
Addresses
Primary practice location
777 Hospital Way
Suite G15
Pocatello, ID 83201-5175
Mailing address
PO Box 4168
Pocatello, ID 83205-4168
Phone (208) 239-2055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002686600 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-5852 | ID | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Hospital LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients |
Locations
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
777 Hospital Way
Ste G15
Pocatello, ID 83201
Phone (208) 239-2260
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
dba Portneuf Medical Practices
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
- Internal Medicine Physician
- Pocatello, ID
- NPI 1760610935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1780769075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4168",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832054168",
"telephone_number": "208-239-2055",
"fax_number": "208-239-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HOSPITAL WAY",
"address_2": "SUITE G15",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015175",
"telephone_number": "208-239-2722",
"fax_number": "208-239-3759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "KEVIN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "ID",
"license": "M-5852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002686600",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.