Individual provider Active NPI

Michael Gary Jones, D.O.

  • Obstetrics & Gynecology Physician
  • Pocatello, ID
National Provider Identifier
1972696565
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
O0428 Issued in ID
Practice address
777 Hospital Way
BLDG a Suite 300
Pocatello, ID 83201-5176
Phone
(208) 232-6100
NPI assigned
Oct 2, 2006
Last updated
Jul 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X O0428 ID Primary

Addresses

Primary practice location

777 Hospital Way
BLDG a Suite 300
Pocatello, ID 83201-5176

Mailing address

777 Hospital Way
BLDG a Suite 300
Pocatello, ID 83201-5176
Phone (208) 232-6100

Other identifiers 3

IdentifierTypeStateIssuer
317455OtherIDALTIUS
807748300MedicaidID
P00412313OtherIDRAILROAD MEDICARE

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
I20070723000298 ID Practitioner - Obstetrics/Gynecology 8729025333 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians

Practice addresses (Care Compare)

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 785-4100

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O0428IDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. Current Accepting new patients
BMH, Inc. CurrentSince Feb 19, 2018 Accepting new patients
Oneida County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Oneida County Hospital CurrentSince Jan 1, 2026 Accepting new patients
BMH, Inc. CurrentSince Feb 19, 2018 Accepting new patients
BMH Inc CurrentSince Feb 19, 2018 Accepting new patients
Methodist Hospital Levelland Past Accepting new patients
Oneida County Hospital Past Accepting new patients

Locations

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

150 N 200 W
Malad City, ID 83252
Phone (208) 766-2231

220 Bannock St
Malad City, ID 83252
Phone (208) 766-2231

777 Hospital Way
Ste 300
Pocatello, ID 83201
Phone (208) 232-6100

Interoperability endpoints

  • Direct secure messaging: michaeljones@bmh.medalliesdirect.net

Organizations & group practices 8

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 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1972696565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "address_2": "BLDG A SUITE 300",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015176",
            "telephone_number": "208-232-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "address_2": "BLDG A SUITE 300",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015176",
            "telephone_number": "208-232-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "GARY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "O0428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "317455",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807748300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00412313",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.