Individual provider Active NPI

John D Crites, MD

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1912945742
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8620 Issued in ID
Practice address
2993 N Cole Rd
Boise, ID 83704-5977
Phone
(208) 378-0400
Fax
(208) 378-7529
NPI assigned
Jun 3, 2006
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8620 ID Primary

Addresses

Primary practice location

2993 N Cole Rd
Boise, ID 83704-5977

Mailing address

2993 N Cole Rd
Boise, ID 83704-5977
Phone (208) 378-0400

Other identifiers 2

IdentifierTypeStateIssuer
P00317456OtherRR MEDICARE
806407900MedicaidID

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8620IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Urgent Care LLC Family Medicine CurrentSince Feb 15, 2013 Accepting new patients
Kootenai Urgent Care LLC Family Medicine Current Accepting new patients
Boise Minor Emergency Center PA Past Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations

700 W Ironwood Dr
Ste 120E
Coeur D Alene, ID 83814
Phone (208) 625-3640

Interoperability endpoints

  • Direct secure messaging: jcrites609764@direct.multicare.org

Organizations & group practices 4

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1912945742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045977",
            "telephone_number": "208-378-0400",
            "fax_number": "208-378-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045977",
            "telephone_number": "208-378-0400",
            "fax_number": "208-378-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITES",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00317456",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806407900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.