NPIMap

Individual provider Active NPI

Scott A Taylor, M.D.

  • Internal Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1861542326
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M8718 Issued in ID
Practice address
3200 Channing Way
Ste 205
Idaho Falls, ID 83404-7546
Phone
(208) 535-4300
Fax
(208) 535-4315
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M8718 ID Primary

Addresses

Primary practice location

3200 Channing Way
Ste 205
Idaho Falls, ID 83404-7546

Mailing address

2985 Cortez Ave
Ste 200
Idaho Falls, ID 83404-7554
Phone (208) 535-4300

Other identifiers 1

IdentifierTypeStateIssuer
806588300MedicaidID

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
I20031212000325 ID Practitioner - Internal Medicine 2163328717 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Eastern Idaho Medical ConsultantsGroup PAC ID 5698737674, 3 clinicians

Practice addresses (Care Compare)

2380 Jafer CT
Idaho Falls, ID 83404-5502
Phone (208) 535-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8718IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Eastern Idaho, Inc. CurrentSince Apr 8, 2024 Accepting new patients
St Mark's Professional Services, LLC Internal Medicine CurrentSince Dec 17, 2012 Accepting new patients
Snake River Hospitalists, LLC CurrentSince Nov 1, 2019 Accepting new patients
Eastern Idaho Medical Consultants Internal Medicine CurrentSince Nov 1, 1999 Accepting new patients
Hospice of Eastern Idaho, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Idaho Falls Community Hospital LLC Past Accepting new patients

Locations

3909 S 25th E
Ammon, ID 83406
Phone (208) 528-4000

2375 E Sunnyside Rd
Ste I
Idaho Falls, ID 83404
Phone (208) 522-6683

3200 Channing Way
Ste 205
Idaho Falls, ID 83404
Phone (208) 535-4300

1810 Moran St
Idaho Falls, ID 83401
Phone (208) 529-0342

2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

2380 Jafer Ct
Ste 1
Idaho Falls, ID 83404

2985 Cortez Ave
#200
Idaho Falls, ID 83404
Phone (208) 535-4300

2380 Jafer Ct
Idaho Falls, ID 83404
Phone (208) 535-4300

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Promontory Point RehabilitationIdaho Falls, ID, CCN 135137 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2017
May 7, 2025
Hospice of Eastern Idaho, IncIdaho Falls, ID, CCN 131538 Hospice Contracted Managing Employee May 8, 2007

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 9

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1861542326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 CORTEZ AVE",
            "address_2": "STE 200",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-535-4300",
            "fax_number": "208-535-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CHANNING WAY",
            "address_2": "STE 205",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047546",
            "telephone_number": "208-535-4300",
            "fax_number": "208-535-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M8718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806588300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.