NORTHWEST PHYSICIANS AND SURGEONS
NPI 1023780376
Podiatrist - Foot & Ankle Surgery in Coeur D Alene, ID

Active since October 04, 2021
850 W IRONWOOD DR STE 301, COEUR D ALENE, ID 83814(208) 667-9762(208) 765-1041 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northwest Physicians And Surgeons NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST PHYSICIANS AND SURGEONS (NPI 1023780376) is a healthcare organization registered as a foot & ankle surgery in Coeur D Alene, Idaho and active in the NPI registry since October 2021. The organization lists Cory Averill Johnson, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1023780376
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameNORTHWEST PHYSICIANS AND SURGEONS
Location Address850 W IRONWOOD DR STE 301Coeur D Alene, ID 83814-4903
Mailing Address850 W Ironwood Dr Ste 301Coeur D Alene, ID 83814-4903 · (208) 667-9762 · Fax (208) 765-1041
Fax(208) 765-1041
Organization SubpartNo
Authorized OfficialCory Averill JohnsonOwner/provider · (208) 667-9762
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
✔ NPI 1023780376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
850 W IRONWOOD DR STE 301, Coeur D Alene, ID 83814

Other Names 1

Other NameCory Averill Johnson

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Physicians And Surgeons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northwest Physicians And Surgeons, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1730665837
850 W IRONWOOD DR STE 301
Coeur D Alene, ID 83814
(208) 667-9762
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Physicians And Surgeons's NPI number?

The NPI number for Northwest Physicians And Surgeons is 1023780376. It was assigned to this organization in the NPPES registry on October 4, 2021. The provider is also known as Cory Averill Johnson.

Where is Northwest Physicians And Surgeons located?

Northwest Physicians And Surgeons is located at 850 W Ironwood Dr Ste 301, Coeur D Alene, ID 83814. The listed phone number is (208) 667-9762.

What is Northwest Physicians And Surgeons's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Northwest Physicians And Surgeons enrolled in Medicare?

Yes. Northwest Physicians And Surgeons is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Physicians And Surgeons?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Northwest Physicians And Surgeons. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwest Physicians And Surgeons accept?

Health plans from Molina Healthcare list Northwest Physicians And Surgeons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Physicians And Surgeons was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.