Active NPI
Kraig C McGee, MD
- Otolaryngology Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- M4337
- Practice address
- 333 N 18TH Ave
# B-3
Pocatello, ID 83201-3358 - Phone
- (208) 232-2146
- Fax
- (208) 232-2770
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | M4337 | ID | Primary |
Addresses
Primary practice location
333 N 18TH Ave
# B-3
Pocatello, ID 83201-3358
Mailing address
333 N 18TH Ave
# B-3
Pocatello, ID 83201-3358
Phone (208) 232-2146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73676 | Other | ID | BLUE CROSS |
| 002528200 | Medicaid | ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Washington School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Vista Dr
Pocatello, ID 83201-5824
Phone (208) 232-7246
333 N 18TH Ave
Suite B3
Pocatello, ID 83201-3358
Phone (208) 232-2146
Hospital & facility affiliations
- Portneuf Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4337 | ID | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH Inc | Current | Accepting new patients | |
| MV Pocatello ENT, LLC | Otolaryngology | Current | Accepting new patients |
Locations
98 Poplar St
Fl 3
Blackfoot, ID 83221
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
150 Vista Dr
Pocatello, ID 83201
Phone (208) 232-2146
333 N 18th Ave
Ste B3
Pocatello, ID 83201
Phone (208) 232-2146
Interoperability endpoints
- kraigmcgee@bmh.medalliesdirect.net
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Pocatello, ID
- NPI 1154801595
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821083544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N 18TH AVE",
"address_2": "# B-3",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013358",
"telephone_number": "208-232-2146",
"fax_number": "208-232-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N 18TH AVE",
"address_2": "# B-3",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013358",
"telephone_number": "208-232-2146",
"fax_number": "208-232-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEE",
"first_name": "KRAIG",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ID",
"license": "M4337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "73676",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002528200",
"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 Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.