Gem State ENT, PLLC
NPI 1215715669ActiveOrganization· General Practice· Twin Falls, ID
General Practice in Twin Falls, Idaho, registered in NPPES in September 2023. The authorized official on file is Brooke Freidenberger, Medical Coder. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215715669 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2023 |
| Last updated in NPPES | Apr 8, 2025 |
| Certified by provider | Apr 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|