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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEAD SPORT EM LLC
NPI 1194598102
Family Medicine - Sports Medicine in Coeur D Alene, ID

Active since November 01, 2023
980 W IRONWOOD DR STE 206, COEUR D ALENE, ID 83814(208) 512-4334 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Nov 1, 2023 (2 updates tracked since 2023).

About Head Sport Em Llc NPPES

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

HEAD SPORT EM LLC (NPI 1194598102), doing business as Head Spine Sport, is a healthcare organization registered as a sports medicine in Coeur D Alene, Idaho and active in the NPI registry since November 2023. The organization lists Craig Panos, Owner, as its authorized official.

NPPES Registry Identity

NPI1194598102
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameHEAD SPORT EM LLC
Location Address980 W IRONWOOD DR STE 206Coeur D Alene, ID 83814-2668
Mailing Address980 W Ironwood Dr Ste 206Coeur D Alene, ID 83814-2668 · (208) 215-2030 · Fax (208) 400-9537
Phone(208) 512-4334
Organization SubpartNo
Authorized OfficialCraig PanosOwner · (208) 215-2030
Enumeration DateNovember 1, 2023
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1194598102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
980 W IRONWOOD DR STE 206, Coeur D Alene, ID 83814
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Other Names 1

Doing Business AsHead Spine Sport

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

Head Sport Em Llc 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 Head Sport Em LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Craig Panos, M. D.
Emergency Medicine
NPI 1104855188
980 W IRONWOOD DR STE 206
Coeur D Alene, ID 83814
(208) 215-2030
✔ 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 Head Sport Em LLC's NPI number?

The NPI number for Head Sport Em LLC is 1194598102. It was assigned to this organization in the NPPES registry on November 1, 2023. The provider is doing business as Head Spine Sport.

Where is Head Sport Em LLC located?

Head Sport Em LLC is located at 980 W Ironwood Dr Ste 206, Coeur D Alene, ID 83814. The listed phone number is (208) 512-4334.

What is Head Sport Em LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Head Sport Em LLC enrolled in Medicare?

Yes. Head Sport Em LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Head Sport Em LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Head Sport Em LLC. 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 Head Sport Em LLC accept?

Health plans from Molina Healthcare list Head Sport Em LLC 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 Head Sport Em LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.