DR. KENNETH E NEWHOUSE (MD) – Orthopaedic Surgery Physician, NPI 1265425789

DR. KENNETH E NEWHOUSE (MD) is a healthcare provider. based in Pocatello, Idaho. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. M6267 (ID). The NPI Number for DR. KENNETH E NEWHOUSE (MD) is 1265425789

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH E NEWHOUSE (MD)
NPI
1265425789
Phone
(208) 234-1960
Address
560 MEMORIAL DR
Enumeration Date
30 August 2005
Last Update Date
21 April 2010

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
5496850679
Group Practice PAC ID
8426955014
Professional Enrollment ID
I20100812001089
Address ID
ID832211758BL98XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

182 ORTHOPEDIC SURGERY in ID

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Provider Addresses for DR. KENNETH E NEWHOUSE (MD)

  • 560, Memorial Drive, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 832014073

    Phone: (208) 234-1960

    Fax: (208) 233-5033

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100812001089IOrthopedic SurgeryIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426955014View full group profile
NameSpecialtyState
Nurse PractitionerID
Internal Medicine, Pediatric MedicineID
O B S T E T R I C S/ G Y N E C O L O G YID
Physician AssistantID
H E M A T O L O G Y/ O N C O L O G YID
N E U R O L O G YID
Physician AssistantID
Internal Medicine, EndocrinologyWY
Family PracticeID
Certified Nurse Midwife (Cnm)ID

Reviews

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Frequently asked questions

Does DR. KENNETH E NEWHOUSE (MD) have a public NPI I can cite?
Public records show DR. KENNETH E NEWHOUSE (MD) under NPI 1265425789.
Does the public listing show DR. KENNETH E NEWHOUSE (MD) as active?
DR. KENNETH E NEWHOUSE (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. KENNETH E NEWHOUSE (MD) does?
Insurance directories may phrase it differently, but here DR. KENNETH E NEWHOUSE (MD) maps to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH E NEWHOUSE (MD) tied to Pocatello, Idaho?
If you are local to Pocatello, Idaho, DR. KENNETH E NEWHOUSE (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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