Individual provider Active NPI

Kraig C McGee, MD

  • Otolaryngology Physician
  • Pocatello, ID
National Provider Identifier
1821083544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M4337 Issued in ID
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
73676OtherIDBLUE CROSS
002528200MedicaidID

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
I20040913000449 ID Practitioner - Otolaryngology 9739096322 Reassigns benefits to 1 organization

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
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians
MV Pocatello ENT, LLCGroup PAC ID 2567706096, 2 clinicians

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 Hospital, Pocatello, ID, CCN 130028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4337IDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMH Inc Current Accepting new patients
MV Pocatello ENT, LLC Otolaryngology CurrentSince Sep 17, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.