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COLBY RUSSELL KEARL MD
NPI 1952806812
Pediatrics - Neonatal-Perinatal Medicine in Pocatello, ID

Active since March 23, 2018PECOS Enrolled
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-1000 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Mar 23, 2018 (2 updates tracked since 2018).

About Colby Russell Kearl Md NPPES

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

COLBY RUSSELL KEARL MD (NPI 1952806812) is an individual neonatal-perinatal medicine provider in Pocatello, Idaho, licensed in Idaho (M-17666) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952806812
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameCOLBY RUSSELL KEARLCredential: MD
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing Address777 Hospital WayPocatello, ID 83201-5175 · (208) 239-1000
Phone(208) 239-1000
Sole ProprietorNo
Enumeration DateMarch 23, 2018
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1952806812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in ID · M-17666
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
777 HOSPITAL WAY, Pocatello, ID 83201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colby Russell Kearl Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MS. EUNICE GRACE GARDNER PH.D.
Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1710
JESS LUFKIN CRNA
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 716-7215
ROGER A COOK MD
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
JASON MONTGOMERY NP-C
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-2580
ALYSSA M WOODBURY PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1226
SHANNON ALISON WEBB PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
DR. ROBERT MICHAEL KENNEDY M.D.
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Bannock County (208) 239-2722
MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 227-2600

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 Colby Kearl's NPI number?

The NPI number for Colby Kearl is 1952806812. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Colby Kearl located?

Colby Kearl practices at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-1000.

What is Colby Kearl's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Colby Kearl enrolled in Medicare?

Yes. Colby Kearl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colby Kearl was last updated on July 2, 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.