Rocky Mountain Medical LLC
NPI 1295580082ActiveOrganization· Internal Medicine· Idaho Falls, ID
Internal Medicine in Idaho Falls, Idaho, registered in NPPES in April 2024. The authorized official on file is Matthew Wood, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295580082 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2024 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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