Individual provider Active NPI

Michael K Taylor, M.D.

  • Ophthalmology Physician
  • Twin Falls, ID
National Provider Identifier
1851338925
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M6765 Issued in ID
Practice address
261 Canyon Crest Dr Ste 100
Twin Falls, ID 83301-5924
Phone
(208) 733-5300
Fax
(208) 733-3015
NPI assigned
May 31, 2006
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M6765 ID Primary

Addresses

Primary practice location

261 Canyon Crest Dr Ste 100
Twin Falls, ID 83301-5924

Mailing address

261 Canyon Crest Dr Ste 100
Twin Falls, ID 83301-5924
Phone (208) 733-5300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Direct@TaylorHalversonOphthalmoloTwinFallsID.CompulinkDirect.com Other

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
I20100615000115 ID Practitioner - Ophthalmology 4981617842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

261 Canyon Crest Dr
Twin Falls, ID 83301-5359

Merit-based Incentive Payment System (MIPS)

Final score
95.03 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6765IDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael K Taylor, MD, & Jason T Halverson, MD, PLLC Ophthalmology CurrentSince Apr 17, 1997 Accepting new patients
Welch and Allan, MD PA Ophthalmology Current Accepting new patients

Locations

1252 Bennett Ave
#A
Burley, ID 83318
Phone (208) 678-0573

1320 Bennett Ave
#A
Burley, ID 83318
Phone (208) 678-2173

261 Canyon Crest Dr
Twin Falls, ID 83301
Phone (208) 733-5300

261 Canyon Crest Dr
#100
Twin Falls, ID 83301
Phone (208) 733-5300

Interoperability endpoints

  • Direct secure messaging: mtaylor@waa.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1851338925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 CANYON CREST DR STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015924",
            "telephone_number": "208-733-5300",
            "fax_number": "208-733-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 CANYON CREST DR STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015924",
            "telephone_number": "208-733-5300",
            "fax_number": "208-733-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-04-24",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M6765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct@TaylorHalversonOphthalmoloTwinFallsID.CompulinkDirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "261 Canyon Crest Dr",
            "city": "Twin Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833015359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.