Idaho Urology 1 PLLC
NPI 1316890270ActiveOrganization· Urology· Rexburg, ID
Urology in Rexburg, Idaho, registered in NPPES in February 2026. The authorized official on file is Jacob Bryce Thatcher, Do. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316890270 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2026 |
| Last updated in NPPES | Sep 3, 2026 |
| Certified by provider | Sep 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Surgery | 208600000X | — | — |
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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