IndividualActive
Josh Sirucek, D.O.
NPI 1487066643 · Family Medicine Physician · Idaho Falls, ID
Provider details
- NPI number
- 1487066643
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- DO05204 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone: (208) 213-5256
Street-level locationGet directions
Mailing address
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Additional practice locations (2)
- 5409 Avenue OFort Madison, IA 52627-9601Phone: (319) 376-2134
- 3325 Pocahontas RdBaker City, OR 97814-1464Phone: (514) 523-1797Fax: (514) 523-1799
Registry dates
- Enumerated
- 2014-05-22
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.