KOOTENAI MEDICAL CENTER GROUP
NPI 1235288655
Emergency Medicine in Coeur D Alene, ID

Active since January 09, 2007
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-4000 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2024, Oct 2, 2020 (2 updates tracked since 2020).

About Kootenai Medical Center Group NPPES

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

KOOTENAI MEDICAL CENTER GROUP (NPI 1235288655) is a healthcare organization registered as an emergency medicine in Coeur D Alene, Idaho and active in the NPI registry since January 2007. The organization lists Jon Ness, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235288655
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameKOOTENAI HEALTH, INC.
Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-4000
Organization SubpartNo
Authorized OfficialJon NessCeo · (208) 625-5081
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1235288655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · 42
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 42 (ID)
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X · License 42 (ID)
Also ListedUrologyTaxonomy 208800000X · License 42 (ID)
Also ListedPodiatristTaxonomy 213E00000X · License 42 (ID)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 42 (ID)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 42 (ID)
2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814

Other Names 1

Doing Business AsKootenai Medical Center Group

Other Identifiers 4

Other83758ID · Blue Cross
Other000010004926ID · Regence Blue Shield
Medicaid805712000ID
OtherCG7380ID · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Kootenai Medical Center Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

493

Medicare enrollment records show 493 clinicians reassign Medicare billing to Kootenai Medical Center Group, which bills Medicare for the services they deliver. Of these, 87 practice at this address and 330 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Nurse Practitioner91
Family Practice56
Hospitalist43
Emergency Medicine33
Diagnostic Radiology29
Internal Medicine26
Cardiovascular Disease (Cardiology)18
General Surgery18
39 other specialties179

Nearest to this location (20)

See all 493
Emergency Medicine
NPI 1780145227
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-5700
✔ PECOSSame address
Nurse Practitioner
NPI 1750257978
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-6625
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1356454359
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOSSame address
Neurology
NPI 1174796981
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1538797303
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts MedicareSame address
Sleep Medicine
NPI 1124170170
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1417290099
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-5200
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1316191976
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-5185
✔ PECOSSame address
Critical Care (Intensivists)
NPI 1568959732
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1699262147
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts MedicareSame address
Cardiac Surgery
NPI 1104824150
2003 KOOTENAI HEALTH WAY STE 300
Coeur D Alene, ID 83814
(208) 666-2552
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1528177284
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-5085
✔ PECOSSame address
Vascular Surgery
NPI 1346635893
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-5222
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1740571231
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 666-2000
✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1437686284
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1093453581
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1427498377
2003 KOOTENAI HEALTH WAY STE 300
Coeur D Alene, ID 83814
(208) 625-4120
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1306900097
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-5085
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1891946778
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1841309838
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(505) 379-3703
✔ PECOS✔ Accepts MedicareSame address
See all 493 clinicians

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 Kootenai Health, Inc.'s NPI number?

The NPI number for Kootenai Health, Inc. is 1235288655. It was assigned to this organization in the NPPES registry on January 9, 2007. The provider is doing business as Kootenai Medical Center Group.

Where is Kootenai Health, Inc. located?

Kootenai Health, Inc. is located at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-4000.

What is Kootenai Health, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kootenai Health, Inc. enrolled in Medicare?

Yes. Kootenai Health, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kootenai Health, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 493 clinicians in 47 Medicare specialties reassign their Medicare billing to Kootenai Health, Inc.. 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. The largest specialties are Nurse Practitioner (91), Family Practice (56) and Hospitalist (43). Of these, 87 practice at this address and 330 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kootenai Health, Inc. accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Molina Healthcare, Premera Blue Cross Blue Shield of Alaska and WellSense Health Plan list Kootenai Health, Inc. 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 Kootenai Health, Inc. was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.