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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.

IDAHO UROLOGY 1 PLLC
NPI 1316890270
Urology in Rexburg, ID

Active since February 19, 2026CLIA 13D2347100 · Certificate of Compliance
30 MADISON PROFESSIONAL PARK, REXBURG, ID 83440(208) 351-6363 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 3, 2026, Aug 5, 2026, May 12, 2026 (3 updates tracked since 2026).

About Idaho Urology 1 Pllc NPPES

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

IDAHO UROLOGY 1 PLLC (NPI 1316890270), doing business as Mountain West Urology, is a healthcare organization registered as an urology in Rexburg, Idaho and active in the NPI registry since February 2026. The organization holds a CLIA Certificate of Compliance certificate valid through July 12, 2028, maintains a secondary practice location in Idaho Falls, and lists Jacob Bryce Thatcher, Do, as its authorized official.

NPPES Registry Identity

NPI1316890270
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameIDAHO UROLOGY 1 PLLC
Location Address30 MADISON PROFESSIONAL PARKRexburg, ID 83440-2058
Mailing Address30 Madison Professional ParkRexburg, ID 83440-2058 · (208) 356-0004 · Fax (208) 356-0006
Phone(208) 351-6363
Organization SubpartNo
Authorized OfficialJacob Bryce ThatcherDo · (208) 356-0004
Enumeration DateFebruary 19, 2026
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1316890270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSurgeryTaxonomy 208600000X
30 MADISON PROFESSIONAL PARK, Rexburg, ID 83440
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Other Names 1

Doing Business AsMountain West Urology

Secondary Practice Location 1

Location 13155 Channing Way Ste AIdaho Falls, ID 83404-7875 · Phone (208) 356-0004

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

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 Compliance 13D2347100

Idaho Urology · Rexburg, ID
Active · expires Jul 12, 2028
CLIA Number13D2347100
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorJacob Thatcher
Laboratory Phone(208) 351-6363
Laboratory LocationIdaho Urology30 Madison Professional Park, Rexburg, ID 83440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

MADISON EAR NOSE AND THROAT CLINIC
Otolaryngology
30 MADISON PROFESSIONAL PARK
REXBURG, ID 83440
Madison County (208) 656-9646

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 Idaho Urology 1 PLLC's NPI number?

The NPI number for Idaho Urology 1 PLLC is 1316890270. It was assigned to this organization in the NPPES registry on February 19, 2026. The provider is doing business as Mountain West Urology.

Where is Idaho Urology 1 PLLC located?

Idaho Urology 1 PLLC is located at 30 Madison Professional Park, Rexburg, ID 83440. The listed phone number is (208) 351-6363.

What is Idaho Urology 1 PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Idaho Urology 1 PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D2347100) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho Urology 1 PLLC was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.