NPIMap

Individual provider Active NPI

Kevin Prier

  • Internal Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1801393798
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CS65696 Issued in ID
Practice address
3910 Washington Pkwy
Idaho Falls, ID 83404-7883
Phone
(208) 523-1122
NPI assigned
Apr 9, 2018
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X CS65696 ID Primary
Pediatrics Physician 208000000X CS65696 ID

Addresses

Primary practice location

3910 Washington Pkwy
Idaho Falls, ID 83404-7883

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

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
I20220714001595 ID Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3577944040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Duke University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Diabetes and Osteoporosis Center PAGroup PAC ID 5890750483, 15 clinicians

Practice addresses (Care Compare)

3910 Washington Pkwy
Idaho Falls, ID 83404-7596
Phone (208) 523-1122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CS65696IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Diabetes and Osteoporosis Center PA CurrentSince Aug 1, 2022 Accepting new patients
RM Lab LLC Current Accepting new patients
Just 4 Kids Health LLC Pediatrics Past Accepting new patients

Locations

3910 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 522-2996

444 Hospital Way
Ste 112
Pocatello, ID 83201

444 Hospital Way
Ste 600
Pocatello, ID 83201
Phone (208) 295-2221

444 Hospital Way
Ste 611
Pocatello, ID 83201
Phone (208) 233-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFDAA
  • Direct secure messaging: kevin.prier.1@33233.direct.athenahealth.com

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1801393798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047883",
            "telephone_number": "208-523-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIER",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "CS65696",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "CS65696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.