KOOTENAI MEDICAL CENTER ONCOLOGY GROUP
NPI 1699807743
Internal Medicine - Hematology & Oncology in Coeur D Alene, ID

Q: What is Kootenai Health, Inc.'s NPI number?

The NPI number for Kootenai Health, Inc. is 1699807743. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is doing business as Kootenai Medical Center Oncology Group.

Q: What is Kootenai Health, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since March 12, 2007

2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-4000(208) 625-5731 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kootenai Medical Center Oncology Group NPPES

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

KOOTENAI MEDICAL CENTER ONCOLOGY GROUP (NPI 1699807743) is a healthcare organization registered as a hematology & oncology in Coeur D Alene, Idaho and active in the NPI registry since March 2007. The organization lists Jon Ness, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699807743

Entity TypeOrganization

Primary Taxonomy207RH0003X

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 · Fax (208) 625-5731

Phone(208) 625-4000

Fax(208) 625-5731

Organization SubpartYes

Authorized OfficialJon NessCeo · (208) 625-5081

Enumeration DateMarch 12, 2007

Last NPPES UpdateJanuary 5, 2024

NPPES CertifiedJanuary 5, 2024

✔ NPI 1699807743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in ID · 42

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814

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Other Names 1

Doing Business AsKootenai Medical Center Oncology Group

Other Identifiers 3

Medicaid805712000ID

Other83758ID · Blue Cross

Other000010004927ID · Regence Blue Shield

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

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 Oncology 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 Oncology Group, which bills Medicare for the services they deliver. Of these, 87 practice at this address and 331 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

Eric Achatz

Emergency Medicine

NPI 1780145227

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-5700

✔ PECOSSame address

Megan Baker

Nurse Practitioner

NPI 1750257978

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-6625

✔ PECOS✔ Accepts MedicareSame address

Lauren Boydston, MD

Psychiatry

NPI 1356454359

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-4000

✔ PECOSSame address

Michah Brasseur, M.D.

Neurology

NPI 1174796981

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-4000

✔ PECOS✔ Accepts MedicareSame address

Heather Conway

Hospitalist

NPI 1538797303

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-4000

✔ PECOS✔ Accepts MedicareSame address

Walter Fairfax, MD

Sleep Medicine

NPI 1124170170

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-4000

✔ PECOS✔ Accepts MedicareSame address

Nicholas Fromm, M.D.

General Surgery

NPI 1417290099

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-5200

✔ PECOS✔ Accepts MedicareSame address

Brook Lang, M.D.

Pediatric Medicine

NPI 1316191976

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-5185

✔ PECOSSame address

Giselle Statz, MD

Critical Care (Intensivists)

NPI 1568959732

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-4000

✔ PECOS✔ Accepts MedicareSame address

Lyudmila Burkart, DO

Pulmonary Disease

NPI 1699262147

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-4000

✔ PECOS✔ Accepts MedicareSame address

Robert Burnett, M.D.

Cardiac Surgery

NPI 1104824150

2003 KOOTENAI HEALTH WAY STE 300
Coeur D Alene, ID 83814

(208) 666-2552

✔ PECOS✔ Accepts MedicareSame address

Karen Cabell, DO

Internal Medicine

NPI 1528177284

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-5085

✔ PECOSSame address

Bryce French, M.D.

Vascular Surgery

NPI 1346635893

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-5222

✔ PECOS✔ Accepts MedicareSame address

Ashley Gorham, LD

Registered Dietitian or Nutrition Professional

NPI 1740571231

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 666-2000

✔ Accepts MedicareSame address

Sarah Gregory, M.D.

Obstetrics/Gynecology

NPI 1437686284

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-4000

✔ PECOS✔ Accepts MedicareSame address

Sierra Hollar, DO

Family Practice

NPI 1093453581

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-4000

✔ PECOS✔ Accepts MedicareSame address

Tori Lennox

Thoracic Surgery

NPI 1427498377

2003 KOOTENAI HEALTH WAY STE 300
Coeur D Alene, ID 83814

(208) 625-4120

✔ PECOS✔ Accepts MedicareSame address

Benjamin Mandel, M.D.

Plastic and Reconstructive Surgery

NPI 1306900097

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-5085

✔ PECOS✔ Accepts MedicareSame address

Jeremy Nicolarsen, MD

Cardiovascular Disease (Cardiology)

NPI 1891946778

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

(208) 625-4000

✔ PECOS✔ Accepts MedicareSame address

Suzanne Russell, LCSW CCM

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 1699807743. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is doing business as Kootenai Medical Center Oncology 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 Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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 331 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.