NPIMap

Individual provider Active NPI

Lee J Hixson, M.D.

  • Gastroenterology Physician
  • Lewiston, ID
National Provider Identifier
1952314593
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
166940-1205 Issued in UT
Practice address
415 6TH St
Lewiston, ID 83501
Phone
(208) 743-3998
Fax
(208) 746-4879
NPI assigned
Aug 14, 2006
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M-13080 ID
Gastroenterology Physician 207RG0100X 166940-1205 UT Primary

Addresses

Primary practice location

415 6TH St
Lewiston, ID 83501

Mailing address

6360 S 3000 E
Ste 220
Salt Lake City, UT 84121-6924
Phone (801) 944-3195

Other practice location 1

2400 W A St # G
Moscow, ID 83843-4902
Phone (208) 883-1177

Other practice location 2

368 E Riverside Dr
Suite A
St George, UT 84790-6896
Phone (435) 673-1149

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
I20160324001906 ID Practitioner - Gastroenterology 7517956337 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Utah School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gritman Medical Center IncGroup PAC ID 4981984390, 19 clinicians

Practice addresses (Care Compare)

2400 W a St
Suite G
Moscow, ID 83843-4902
Phone (208) 883-1177

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Upper gastrointestinal (GI) endoscopy for acid reflux71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166940-1205UTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gritman Medical Center Inc CurrentSince Feb 1, 2023 Accepting new patients
Gritman Medical Center Inc CurrentSince Feb 1, 2023 Accepting new patients
Gritman Medical Center Inc CurrentSince Feb 1, 2023 Accepting new patients
Gritman Medical Center Inc. CurrentSince Feb 1, 2023 Accepting new patients
Gritman Medical Center Inc Past Accepting new patients
Gritman Medical Center, Inc. Family Medicine Past Accepting new patients

Locations

2400 W A St
#G
Moscow, ID 83843
Phone (208) 813-7519

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

719 S Main St
Moscow, ID 83843
Phone (208) 848-8300

Interoperability endpoints

  • Direct secure messaging: lhixson689730@direct.ochin.org

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1952314593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216924",
            "telephone_number": "801-944-3195",
            "fax_number": "801-944-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "83501",
            "telephone_number": "208-743-3998",
            "fax_number": "208-746-4879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 W A St # G",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838434902",
            "country_code": "US",
            "telephone_number": "208-883-1177",
            "fax_number": "208-892-0170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 E Riverside Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847906896",
            "country_code": "US",
            "telephone_number": "435-673-1149",
            "fax_number": "435-673-1182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "LEE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "M-13080",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "166940-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.