Mountain Crest Foot and Ankle PA
NPI 1932191996 · Podiatrist · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain Crest Foot and Ankle PA is a Podiatrist organization in Idaho Falls, ID (NPI 1932191996).
Provider details
- NPI number
- 1932191996
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Black, Owner/Physician(208) 528-8700
- License
- P-169 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2005-08-16
- Last updated
- 2010-12-06
Frequently asked questions
- What is Mountain Crest Foot and Ankle PA's NPI number?
- Mountain Crest Foot and Ankle PA's National Provider Identifier (NPI) is 1932191996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Crest Foot and Ankle PA?
- Mountain Crest Foot and Ankle PA is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Mountain Crest Foot and Ankle PA located?
- Mountain Crest Foot and Ankle PA's practice location on file with NPPES is 3652 Washington Pkwy, Idaho Falls, ID 83404-7573.
- What is Mountain Crest Foot and Ankle PA's phone number?
- The practice phone number listed in the NPPES registry for Mountain Crest Foot and Ankle PA is (208) 528-8700.
- Does Mountain Crest Foot and Ankle PA accept Medicare?
- Mountain Crest Foot and Ankle PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain Crest Foot and Ankle PA?
- The authorized official listed on Mountain Crest Foot and Ankle PA's NPPES record is Timothy Black, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Crest Foot and Ankle PA's NPI active?
- Yes — Mountain Crest Foot and Ankle PA's NPI (1932191996) is active in the NPPES registry as of the last update on 2010-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.