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GRITMAN INTERNAL MEDICINE CLINIC
NPI 1790182590
Clinic/Center in Moscow, ID

Active since November 24, 2014
804 S WASHINGTON ST STE A, MOSCOW, ID 83843(208) 883-1152(208) 882-1486 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gritman Internal Medicine Clinic NPPES

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

GRITMAN INTERNAL MEDICINE CLINIC (NPI 1790182590) is a healthcare organization registered as a clinic/center in Moscow, Idaho and active in the NPI registry since November 2014. The organization lists Preston J Becker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790182590
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGRITMAN MEDICAL CENTER INC.
Location Address804 S WASHINGTON ST STE AMoscow, ID 83843-3182
Mailing Address700 S Main StMoscow, ID 83843-3056 · (208) 882-4511 · Fax (208) 883-6580
Phone(208) 883-1152
Fax(208) 882-1486
Organization SubpartYes
Authorized OfficialPreston J BeckerCfo · (208) 883-2221
Enumeration DateNovember 24, 2014
Last NPPES UpdateDecember 4, 2015
✔ NPI 1790182590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in ID · 39
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
804 S WASHINGTON ST STE A, Moscow, ID 83843
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Other Names 1

Doing Business AsGritman Internal Medicine Clinic

Other Identifiers 1

Medicare PIN1253203ID

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gritman Internal Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

75

Medicare enrollment records show 75 clinicians reassign Medicare billing to Gritman Internal Medicine Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Family Practice18
Emergency Medicine17
Internal Medicine11
Nurse Practitioner6
Certified Registered Nurse Anesthetist (CRNA)4
Podiatry4
Clinical Social Worker2
General Surgery2
10 other specialties11

Nearest to this location (20)

See all 75
Dustin Gill
Certified Registered Nurse Anesthetist (CRNA)
NPI 1558681502
804 S WASHINGTON ST STE A
Moscow, ID 83843
(208) 883-6700
✔ Accepts MedicareSame address
Gregory Bauer, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255496493
700 S MAIN ST
Moscow, ID 83843
(208) 746-7555
✔ Accepts Medicare0.1 mi
John Brown, MD
Family Practice
NPI 1912008095
700 S MAIN ST
Moscow, ID 83843
(208) 883-6246
✔ PECOS0.1 mi
Nicholas Garrett, D.O.
Emergency Medicine
NPI 1841673183
700 S MAIN ST
Moscow, ID 83843
(208) 882-4511
✔ PECOS✔ Accepts Medicare0.1 mi
Sarah Hall, DO
Internal Medicine
NPI 1487037008
700 S MAIN ST
Moscow, ID 83843
(208) 882-4511
✔ PECOS✔ Accepts Medicare0.1 mi
Randall Kloepfer, M.D.
Internal Medicine
NPI 1386698322
700 S MAIN ST
Moscow, ID 83843
(208) 882-4511
✔ PECOS✔ Accepts Medicare0.1 mi
Preetha Rosen, MD
Sleep Medicine
NPI 1487886099
700 S MAIN ST
Moscow, ID 83843
(208) 883-6236
✔ PECOS✔ Accepts Medicare0.1 mi
Pranabh Shrestha, MD
Internal Medicine
NPI 1598085490
700 S MAIN ST
Moscow, ID 83843
(208) 882-4511
✔ PECOS✔ Accepts Medicare0.1 mi
Harnek Singh, MD
Internal Medicine
NPI 1811917917
700 S MAIN ST
Moscow, ID 83843
(208) 882-4511
✔ PECOS0.1 mi
Christopher Standley, D.O.
Family Practice
NPI 1073952537
700 S MAIN ST
Moscow, ID 83843
(208) 882-4511
✔ PECOS✔ Accepts Medicare0.1 mi
Susan Derry, MD
Emergency Medicine
NPI 1023109030
700 S MAIN ST
Moscow, ID 83843
(208) 882-4511
✔ PECOS✔ Accepts Medicare0.1 mi
Fawna Huffman, NP-C
Nurse Practitioner
NPI 1356680862
803 S MAIN ST STE 320
Moscow, ID 83843
(208) 883-1846
✔ PECOS✔ Accepts Medicare0.1 mi
Sarah Lawrence, MD
Internal Medicine
NPI 1962104596
719 S MAIN ST
Moscow, ID 83843
(208) 883-1152
✔ PECOS0.1 mi
Amy Dudley
Family Practice
NPI 1588028567
623 S MAIN ST STE 1
Moscow, ID 83843
(208) 882-2011
✔ PECOS0.2 mi
Tiki Hansen, PMH-NP
Nurse Practitioner
NPI 1932659422
623 S MAIN ST STE 1
Moscow, ID 83843
(208) 882-2011
✔ PECOS✔ Accepts Medicare0.2 mi
Kyrsten Stoops, MD
Family Practice
NPI 1417261934
623 S MAIN ST STE 1
Moscow, ID 83843
(208) 882-2011
✔ PECOS✔ Accepts Medicare0.2 mi
Gwen Mitchell
Clinical Psychologist
NPI 1508989237
129 W 3RD ST
Moscow, ID 83843
(208) 885-3588
✔ PECOS0.3 mi
Trevor Black, D.P.M.
Podiatry
NPI 1861835308
623 S MAIN ST STE 1
Moscow, ID 83843
(208) 882-2011
✔ PECOS0.9 mi
Jessica Bonnett, DO
Family Practice
NPI 1669786653
623 S MAIN ST STE 1
Moscow, ID 83843
(208) 882-2011
✔ PECOS✔ Accepts Medicare0.9 mi
Summer Day, MD
Pediatric Medicine
NPI 1457627937
623 S MAIN ST STE 1
Moscow, ID 83843
(208) 882-2011
✔ PECOS0.9 mi
See all 75 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 Gritman Medical Center Inc.'s NPI number?

The NPI number for Gritman Medical Center Inc. is 1790182590. It was assigned to this organization in the NPPES registry on November 24, 2014. The provider is doing business as Gritman Internal Medicine Clinic.

Where is Gritman Medical Center Inc. located?

Gritman Medical Center Inc. is located at 804 S Washington St Ste A, Moscow, ID 83843. The listed phone number is (208) 883-1152.

What is Gritman Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Gritman Medical Center Inc. enrolled in Medicare?

Yes. Gritman Medical Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gritman Medical Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 18 Medicare specialties reassign their Medicare billing to Gritman Medical Center 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 Family Practice (18), Emergency Medicine (17) and Internal Medicine (11). Of these, 1 practice at this address and 38 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 Gritman Medical Center Inc. was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.