Individual provider Active NPI

Donald G Pica, M.D.

  • Rheumatology Physician
  • Twin Falls, ID
National Provider Identifier
1902840317
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M3098 Issued in ID
Practice address
660 Shoshone St E
Suite 210
Twin Falls, ID 83301-6110
Phone
(208) 732-3236
Fax
(208) 732-3112
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X M3098 ID Primary

Addresses

Primary practice location

660 Shoshone St E
Suite 210
Twin Falls, ID 83301-6110

Mailing address

660 Shoshone St E
Suite 210
Twin Falls, ID 83301-6110
Phone (208) 732-3236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3098IDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magic Valley Regional Medical Center Past Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients
Arthritis Center of Idaho,PA Rheumatology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1902840317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 SHOSHONE ST E",
            "address_2": "SUITE 210",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016110",
            "telephone_number": "208-732-3236",
            "fax_number": "208-732-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SHOSHONE ST E",
            "address_2": "SUITE 210",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016110",
            "telephone_number": "208-732-3236",
            "fax_number": "208-732-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICA",
        "first_name": "DONALD",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ID",
            "license": "M3098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.