Individual provider Active NPI

Kim Leon Cox, MD

  • Obstetrics & Gynecology Physician
  • Pocatello, ID
National Provider Identifier
1801848221
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M5779 Issued in ID
Practice address
777 Hospital Way
BLDG a Suite 300
Pocatello, ID 83201-5175
Phone
(208) 232-8792
Fax
(208) 232-8793
NPI assigned
May 16, 2006
Last updated
Oct 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M5779 ID Primary

Addresses

Primary practice location

777 Hospital Way
BLDG a Suite 300
Pocatello, ID 83201-5175

Mailing address

777 Hospital Way
BLDG a Suite 300
Pocatello, ID 83201-5175
Phone (208) 232-8792

Other identifiers 4

IdentifierTypeStateIssuer
000010001682OtherIDREGENCE-BLUE SHIELD OF ID
160043915OtherIDRAILROAD MEDICARE
76954OtherIDBLUE CROSS OF IDAHO
003643500MedicaidID

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
I20060523000137 ID Practitioner - Obstetrics/Gynecology 0547271926 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Washington School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians

Practice addresses (Care Compare)

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5779IDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. Current Accepting new patients
BMH, Inc. CurrentSince Feb 19, 2018 Accepting new patients
Health West, Inc. CurrentSince May 23, 2016 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH, Inc. CurrentSince Feb 19, 2018 Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. CurrentSince May 23, 2016 Accepting new patients
BMH Inc CurrentSince Feb 19, 2018 Accepting new patients
State of Idaho Past Accepting new patients
Pocatello Hospital LLC Past Accepting new patients
BMH Inc. Past Accepting new patients

Locations

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

777 Hospital Way
Ste 300
Pocatello, ID 83201
Phone (208) 232-6100

Interoperability endpoints

  • Direct secure messaging: ckim259208@ahs.direct-ci.com
  • Direct secure messaging: kim.cox.1@17373.direct.athenahealth.com
  • Direct secure messaging: kimcox@bmh.medalliesdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1801848221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "address_2": "BLDG A SUITE 300",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015175",
            "telephone_number": "208-232-8792",
            "fax_number": "208-232-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "address_2": "BLDG A SUITE 300",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015175",
            "telephone_number": "208-232-8792",
            "fax_number": "208-232-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "KIM",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M5779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE-BLUE SHIELD OF ID",
            "identifier": "000010001682",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160043915",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "76954",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003643500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.