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WEST VALLEY MEDICAL GROUP LLC
NPI 1871673798
Internal Medicine in Caldwell, ID

Active since October 16, 2006CLIA 13D0521216 · Waiver
1906 FAIRVIEW AVE STE 230, CALDWELL, ID 83605(208) 459-4667(208) 442-6520 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2023, Oct 28, 2020 (2 updates tracked since 2020).

About West Valley Medical Group Llc NPPES

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

WEST VALLEY MEDICAL GROUP LLC (NPI 1871673798) is a healthcare organization registered as an internal medicine in Caldwell, Idaho and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Louis Joseph, Vp, as its authorized official.

NPPES Registry Identity

NPI1871673798
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWEST VALLEY MEDICAL GROUP LLC
Location Address1906 FAIRVIEW AVE STE 230Caldwell, ID 83605-5432
Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7600 · Fax (866) 346-1426
Phone(208) 459-4667
Fax(208) 442-6520
Organization SubpartNo
Authorized OfficialLouis JosephVp · (615) 373-7630
Enumeration DateOctober 16, 2006
Last NPPES UpdateJanuary 2, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2023
✔ NPI 1871673798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1906 FAIRVIEW AVE STE 230, Caldwell, ID 83605
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Other Names 1

Doing Business AsWest Valley Medical Group Llc

Other Identifiers 2

Medicaid807981600ID
Medicaid807655500ID

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Valley Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to West Valley Medical Group LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner5
Family Practice2
Psychiatry2
Internal Medicine1

Clinicians, nearest first (10)

Colt Kennington
Psychiatry
NPI 1386106268
1906 FAIRVIEW AVE STE 220
Caldwell, ID 83605
(208) 795-5072
✔ PECOSSame address
Steven Koga, M.D.
Internal Medicine
NPI 1144275512
1906 FAIRVIEW AVE STE 230
Caldwell, ID 83605
(208) 459-4667
✔ PECOS✔ Accepts MedicareSame address
Blake Mcdonald, PMHNP
Nurse Practitioner
NPI 1396379475
1906 FAIRVIEW AVE STE 220
Caldwell, ID 83605
(208) 795-5072
✔ PECOS✔ Accepts MedicareSame address
Richard Montgomery, M.D.
Psychiatry
NPI 1275567638
1906 FAIRVIEW AVE STE 220
Caldwell, ID 83605
(208) 795-5072
✔ PECOS✔ Accepts MedicareSame address
Travis Moulton, DO
Family Practice
NPI 1760744403
1906 FAIRVIEW AVE STE 230
Caldwell, ID 83605
(208) 459-4667
✔ PECOS✔ Accepts MedicareSame address
Alyssa Nitschelm, RN
Nurse Practitioner
NPI 1942044516
1906 FAIRVIEW AVE STE 230
Caldwell, ID 83605
(208) 459-4667
✔ PECOS✔ Accepts MedicareSame address
Heather Norberg
Nurse Practitioner
NPI 1528810900
1906 FAIRVIEW AVE STE 230
Caldwell, ID 83605
(208) 459-4667
✔ PECOS✔ Accepts MedicareSame address
Christina Jones, DNP-FNP
Nurse Practitioner
NPI 1699529107
1906 FAIRVIEW AVE STE 230
Caldwell, ID 83605
(208) 459-4667
✔ PECOS✔ Accepts MedicareSame address
J'cinda Bitters, MD
Family Practice
NPI 1104089556
211 E LOGAN ST STE 301
Caldwell, ID 83605
(208) 459-4667
✔ PECOS✔ Accepts Medicare0.2 mi
Nadezhda Kravchuk, NP-C
Nurse Practitioner
NPI 1033686076
1150 N SISTER CATHERINE WAY
Nampa, ID 83687
(208) 302-7000
✔ PECOS✔ Accepts Medicare9.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 13D0521216

West Valley Medical Group · Caldwell, ID
Active · expires Mar 31, 2027
CLIA Number13D0521216
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorSteven J. Koga
Laboratory Phone(208) 459-4667
Laboratory LocationWest Valley Medical Group1906 Fairview Ave #230, Caldwell, ID 83605
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Valley Medical Group LLC's NPI number?

The NPI number for West Valley Medical Group LLC is 1871673798. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is West Valley Medical Group LLC located?

West Valley Medical Group LLC is located at 1906 Fairview Ave Ste 230, Caldwell, ID 83605. The listed phone number is (208) 459-4667.

What is West Valley Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is West Valley Medical Group LLC enrolled in Medicare?

Yes. West Valley Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Valley Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to West Valley Medical Group LLC. 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 (5), Family Practice (2) and Psychiatry (2). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Valley Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0521216) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Valley Medical Group LLC accept?

Health plans from Moda Health Plan, Inc. list West Valley Medical Group LLC 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 West Valley Medical Group LLC was last updated on January 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.