Teton Medical Group PLLC
NPI 1154502615ActiveOrganization· Family Medicine· Rexburg, ID
Family Medicine in Rexburg, Idaho, registered in NPPES in November 2007. The authorized official on file is Richard Thomas Jones, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154502615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2007 |
| Last updated in NPPES | Sep 15, 2026 |
| Certified by provider | Sep 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | M-10078 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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