MR. MICHAEL JOHN DOYLE PA-C(PHYS ASST)
NPI 1124040506
Physician Assistant - Medical in Pocatello, ID

Q: What is Michael Doyle's NPI number?

The NPI number for Michael Doyle is 1124040506. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Michael Doyle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: Is Michael Doyle enrolled in Medicare?

No. Michael Doyle has opted out of Medicare through August 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Michael Doyle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 24, 2006Opted out of Medicare · through Aug 17, 2027

921 S 8TH AVE STOP 8311, POCATELLO, ID 83209(208) 282-2330(208) 282-4036 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Michael John Doyle Pa-c(phys Asst) NPPES

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

MR. MICHAEL JOHN DOYLE PA-C(PHYS ASST) (NPI 1124040506) is an individual medical provider in Pocatello, Idaho, licensed in Idaho (PA-085) and active in the NPI registry since July 2006. He has opted out of Medicare through August 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124040506

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MICHAEL JOHN DOYLECredential: PA-C(PHYS ASST)

Location Address921 S 8TH AVE STOP 8311Pocatello, ID 83209-0002

Mailing Address921 S 8th Ave Stop 8311Pocatello, ID 83209-0002 · Fax (208) 282-4036

Phone(208) 282-2330

Fax(208) 282-4036

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124040506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA-085

921 S 8TH AVE STOP 8311, Pocatello, ID 83209

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Michael John Doyle Pa-c(phys Asst) has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 17, 2017 through August 17, 2027.

Opt-Out Effective DateAugust 17, 2017

Opt-Out In Effect ThroughAugust 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALYSSA MARIE HINES RDN, LD

Dietitian, Registered

921 S 8TH AVE STOP 8311
POCATELLO, ID 83209

Bannock County (208) 539-0186

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 Michael Doyle's NPI number?

The NPI number for Michael Doyle is 1124040506. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Michael Doyle located?

Michael Doyle practices at 921 S 8th Ave Stop 8311, Pocatello, ID 83209. The listed phone number is (208) 282-2330.

What is Michael Doyle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Doyle enrolled in Medicare?

No. Michael Doyle has opted out of Medicare through August 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Doyle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.