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MAGIC VALLEY UROLOGY PLLC
NPI 1790388700
Urology in Twin Falls, ID

Active since November 20, 2020
2095 DAWSON DR, TWIN FALLS, ID 83301(208) 733-3404(866) 939-1381 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 20, 2026, Nov 20, 2020 (2 updates tracked since 2020).

About Magic Valley Urology Pllc NPPES

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

MAGIC VALLEY UROLOGY PLLC (NPI 1790388700) is a healthcare organization registered as an urology in Twin Falls, Idaho and active in the NPI registry since November 2020. The organization lists Jason Greenhalgh, Owner, as its authorized official.

NPPES Registry Identity

NPI1790388700
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMAGIC VALLEY UROLOGY PLLC
Location Address2095 DAWSON DRTwin Falls, ID 83301-3195
Mailing AddressPo Box 44238Boise, ID 83711-0238
Phone(208) 733-3404
Fax(866) 939-1381
Organization SubpartNo
Authorized OfficialJason GreenhalghOwner · (208) 733-3404
Enumeration DateNovember 20, 2020
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1790388700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2095 DAWSON DR, Twin Falls, ID 83301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Magic Valley Urology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Magic Valley Urology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jason Greenhalgh, M.D.
Urology
NPI 1952478703
775 POLE LINE RD W SUITE 301
Twin Falls, ID 83301
(208) 814-8700
✔ PECOS✔ Accepts Medicare2.7 mi
Joel Hancock, M.D.
Urology
NPI 1235584533
2114 VILLAGE PARK AVE
Twin Falls, ID 83301
(208) 733-3404
✔ PECOS✔ Accepts Medicare2.8 mi

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 Magic Valley Urology PLLC's NPI number?

The NPI number for Magic Valley Urology PLLC is 1790388700. It was assigned to this organization in the NPPES registry on November 20, 2020.

Where is Magic Valley Urology PLLC located?

Magic Valley Urology PLLC is located at 2095 Dawson Dr, Twin Falls, ID 83301. The listed phone number is (208) 733-3404.

What is Magic Valley Urology PLLC's specialty?

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

Is Magic Valley Urology PLLC enrolled in Medicare?

Yes. Magic Valley Urology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magic Valley Urology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Urology, reassign their Medicare billing to Magic Valley Urology PLLC. 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. Of these, 2 practice 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 Magic Valley Urology PLLC was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.