DIRECT DOCTOR CARE PLLC
NPI 1871112094
Family Medicine in Middleton, ID

Q: What is Direct Doctor Care PLLC's NPI number?

The NPI number for Direct Doctor Care PLLC is 1871112094. It was assigned to this organization in the NPPES registry on April 9, 2020. The provider is doing business as Direct Doctor Care.

Q: What is Direct Doctor Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 09, 2020CLIA 13D2177132 · Waiver

509 S MIDDLETON RD STE 105, MIDDLETON, ID 83644(208) 668-2080 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Direct Doctor Care Pllc NPPES

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

DIRECT DOCTOR CARE PLLC (NPI 1871112094), doing business as Direct Doctor Care, is a healthcare organization registered as a family medicine in Middleton, Idaho and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists Roger Wyatt, Owner, as its authorized official.

NPPES Registry Identity

NPI1871112094

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDIRECT DOCTOR CARE PLLC

Location Address509 S MIDDLETON RD STE 105Middleton, ID 83644-6047

Mailing Address509 S Middleton Rd Ste 105Middleton, ID 83644-6047 · (208) 965-4899

Phone(208) 668-2080

Organization SubpartNo

Authorized OfficialRoger WyattOwner · (208) 965-4899

Enumeration DateApril 9, 2020

NPPES CertifiedApril 9, 2020

✔ NPI 1871112094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

509 S MIDDLETON RD STE 105, Middleton, ID 83644

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Other Names 1

Doing Business AsDirect Doctor Care

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2177132

Direct Doctor Care · Middleton, ID

Active · expires Jan 5, 2028

CLIA Number13D2177132

Laboratory TypeCommunity Clinic

Certificate Effective DateJanuary 6, 2026

Certificate Expiration DateJanuary 5, 2028

Laboratory DirectorRoger Wyatt

Laboratory Phone(208) 688-2080

Laboratory LocationDirect Doctor Care509 S Middleton Rd Ste 105, Middleton, ID 83644

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CORINA A REYNA PHARM.D., CGP

Pharmacist

509 S MIDDLETON RD STE 105
MIDDLETON, ID 83644

Canyon County (208) 880-0011

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 Direct Doctor Care PLLC's NPI number?

The NPI number for Direct Doctor Care PLLC is 1871112094. It was assigned to this organization in the NPPES registry on April 9, 2020. The provider is doing business as Direct Doctor Care.

Where is Direct Doctor Care PLLC located?

Direct Doctor Care PLLC is located at 509 S Middleton Rd Ste 105, Middleton, ID 83644. The listed phone number is (208) 668-2080.

What is Direct Doctor Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Direct Doctor Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2177132) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Direct Doctor Care PLLC accept?

Health plans from Moda Health Plan, Inc. list Direct Doctor Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Direct Doctor Care PLLC was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.