IDAHO UROLOGY 1 PLLC
NPI 1316890270
Urology in Rexburg, ID
NPI Status: Active since February 19, 2026
Contact Information
30 MADISON PROFESSIONAL PARK
REXBURG, ID
ZIP 83440
Phone: (208) 351-6363
- Organization
- Urology
- CLIA Number: 13D2176354
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-11-2027
About IDAHO UROLOGY 1 PLLC
This page provides the complete NPI Profile along with additional information for Idaho Urology 1 Pllc, a provider established in Rexburg, Idaho operating as a Urology. The healthcare provider is registered in the NPI registry with number 1316890270 assigned on February 2026. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jacob Thatcher Do (Surgeon)
- NPI
- 1316890270
- Provider Name
- IDAHO UROLOGY 1 PLLC
- Entity Type
- Organization
- Location Address
- 30 MADISON PROFESSIONAL PARK REXBURG, ID 83440
- Location Phone
- (208) 351-6363
- Mailing Address
- 1124 BARNEY DAIRY RD REXBURG, ID 83440
- Mailing Phone
- (208) 351-6363
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2026
- Last Update Date
- 05-12-2026
- Code Navigator
Location Map
Secondary Locations
- 3155 Channing Way Ste A
Idaho Falls, ID 83404
(208) 356-0004
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2176354
- Facility Type
- Physician Office
- Certificate Effective Date
- August 12, 2025
- Certificate Expiration Date
- August 11, 2027
- Laboratory Director
- COLBY S. BINGHAM
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Idaho Urology 1 Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1316890270, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316890270, enumerated as an "organization" on February 19, 2026.
The provider is located at 30 MADISON PROFESSIONAL PARK REXBURG, ID 83440 and the phone number is (208) 351-6363.
Urology with taxonomy code 208800000X.
