GARDEN VALLEY FAMILY MEDICINE PC
NPI 1245312750
Family Medicine in Garden Valley, ID

Q: What is Garden Valley Family Medicine PC's NPI number?

The NPI number for Garden Valley Family Medicine PC is 1245312750. It was assigned to this organization in the NPPES registry on October 20, 2006.

Q: What is Garden Valley Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 20, 2006CLIA 13D0646317 · Waiver

856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID 83622(208) 462-3533(208) 462-3736 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Garden Valley Family Medicine Pc NPPES

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

GARDEN VALLEY FAMILY MEDICINE PC (NPI 1245312750) is a healthcare organization registered as a family medicine in Garden Valley, Idaho and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2027, maintains a secondary practice location in Horseshoe Bend, and lists Michael R Koenig, Owner, as its authorized official.

NPPES Registry Identity

NPI1245312750

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGARDEN VALLEY FAMILY MEDICINE PC

Location Address856 BANKS LOWMAN ROADGarden Valley, ID 83622

Mailing AddressPo Box 270Garden Valley, ID 83622-0270 · (208) 462-3533 · Fax (208) 462-3736

Phone(208) 462-3533

Fax(208) 462-3736

Organization SubpartNo

Authorized OfficialMichael R KoenigOwner · (208) 462-3533

Enumeration DateOctober 20, 2006

Last NPPES UpdateMarch 17, 2018

✔ NPI 1245312750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

856 BANKS LOWMAN ROAD, Garden Valley, ID 83622

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Secondary Practice Location 1

Location 1102 Quinn StreetHorseshoe Bend, ID 83629-0000 · Phone (208) 462-3533 · Fax (208) 462-3736

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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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)

Garden Valley Family Medicine Pc 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 Garden Valley Family Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Koenig, MD

Family Practice

NPI 1851396386

856 BANKS LOWMAN RD
Garden Valley, ID 83622

(208) 462-3533

✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0646317

Garden Valley Family Medicine · Garden Valley, ID

Active · expires Sep 30, 2027

CLIA Number13D0646317

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorMichael Koenig

Laboratory Phone(208) 462-3533

Laboratory LocationGarden Valley Family Medicine856 Banks Lowman Road, Garden Valley, ID 83622

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Garden Valley Family Medicine PC's NPI number?

The NPI number for Garden Valley Family Medicine PC is 1245312750. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Garden Valley Family Medicine PC located?

Garden Valley Family Medicine PC is located at 856 Banks Lowman Road, Garden Valley, ID 83622. The listed phone number is (208) 462-3533.

What is Garden Valley Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Garden Valley Family Medicine PC enrolled in Medicare?

Yes. Garden Valley Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Garden Valley Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Garden Valley Family Medicine PC. 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.

Does Garden Valley Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0646317) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Garden Valley Family Medicine PC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Garden Valley Family Medicine PC 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 Garden Valley Family Medicine PC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.