DEREK KOHLHASE MD – NPI #1407410830
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

DEREK KOHLHASE is a physician located in STAR, ID. NPPES has assigned the NPI number 1407410830 to DEREK KOHLHASE on May 01, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEREK KOHLHASE below.

NPI Profile for
DEREK KOHLHASE

NPI Number
1407410830
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DEREK KOHLHASE
Credentials
MD
Primary location
10717 W STATE ST
STAR, ID 83669-6046
Phone: (208) 302-6300 Fax: (208) 302-6355
1 Other location(s):
215 E Hawaii Ave
Nampa, ID 83686-6011
Phone: (208) 514-2529
Fax: (208) 375-2217
Mailing address
3340 E GOLDSTONE DR
MERIDIAN, ID 83642-1026
Phone: (208) 302-9342 Fax: (208) 367-5180
Sole Proprietor
No
Updated
Certification Date
Jul 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
ID MRM-1814

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL - Graduated 2019
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DEREK KOHLHASE is affiliated with the following medical group(s):
  • HOSPITAL
    • SAINT ALPHONSUS MEDICAL CENTER - NAMPA
      4300 E FLAMINGO AVE
      NAMPA, ID 83687
    • SAINT ALPHONSUS REGIONAL MEDICAL CENTER
      1055 NORTH CURTIS ROAD
      BOISE, ID 83706

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.