DR. JOHN E LILJENQUIST MD
NPI 1619977600
Internal Medicine - Endocrinology, Diabetes & Metabolism in Idaho Falls, ID

Active since July 30, 2005PECOS EnrolledAccepts Medicare Assignment
2220 E 25TH ST, IDAHO FALLS, ID 83404(208) 522-2996(208) 523-6025 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John E Liljenquist Md NPPES

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

DR. JOHN E LILJENQUIST MD (NPI 1619977600) is an individual endocrinology, diabetes & metabolism provider in Idaho Falls, Idaho, licensed in Idaho (M4220) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Lost Rivers Medical Center, and is a graduate of George Washington University School Of Medicine (1967).

NPPES Registry Identity

NPI1619977600
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. JOHN E LILJENQUISTCredential: MD
Location Address2220 E 25TH STIdaho Falls, ID 83404-7542
Mailing Address3910 Washington PkwyIdaho Falls, ID 83404-7596 · (208) 522-2996 · Fax (208) 523-3318
Fax(208) 523-6025
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1967
Enumeration DateJuly 30, 2005
Last NPPES UpdateJune 2, 2010
NPI 1619977600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in ID · M4220
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2220 E 25TH ST, Idaho Falls, ID 83404

Other Identifiers 8

Other34512DE · Bluecross Of Idaho
Medicare UPINB02635ID
Other25852ID · Blueshield Of Idaho
Medicare ID-Type Unspecified1113732ID
Other804012300ID · Healthy Connections
Medicaid002530600ID
Other113798100ID · Wyoming Consultec Eds
Other110008760ID · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John E Liljenquist Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870558463
PECOS Enrollment IDI20100120000865
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lost Rivers Medical Center

Critical Access Hospitals · Arco, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131324
Location551 Highland DriveArco, ID 83213 · Butte County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers60 claims60 services$192.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Dietitian, Registered (Nutrition, Metabolic)
2220 E 25TH ST
IDAHO FALLS, ID 83404
Internal Medicine (Rheumatology)
2220 E 25TH ST
IDAHO FALLS, ID 83404
Dietitian, Registered (Nutrition, Metabolic)
2220 E 25TH ST
IDAHO FALLS, ID 83404
Dietitian, Registered
2220 E 25TH ST
IDAHO FALLS, ID 83404
Dietitian, Registered
2220 E 25TH ST
IDAHO FALLS, ID 83404
Internal Medicine (Rheumatology)
2220 E 25TH ST
IDAHO FALLS, ID 83404
Dietitian, Registered
2220 E 25TH ST
IDAHO FALLS, ID 83404
Clinical Medical Laboratory
2220 E 25TH ST
IDAHO FALLS, ID 83404

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 John Liljenquist's NPI number?

The NPI number for John Liljenquist is 1619977600. It was assigned to this individual provider in the NPPES registry on July 30, 2005.

Where is John Liljenquist located?

John Liljenquist practices at 2220 E 25th St, Idaho Falls, ID 83404. The listed phone number is (208) 522-2996.

What is John Liljenquist's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is John Liljenquist enrolled in Medicare?

Yes. John Liljenquist is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Liljenquist affiliated with any hospitals?

According to CMS data, John Liljenquist is affiliated with Lost Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for John Liljenquist was last updated on June 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.