Active NPI
Randy J Lovell, DO
- Family Medicine Physician
- Thompson Falls, MT
National Provider Identifier
1003836313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6022
- Practice address
- 907 Main St
Thompson Falls, MT 59873 - Phone
- (406) 827-4307
- Fax
- (406) 827-9514
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6022 | MT | Primary |
Addresses
Primary practice location
907 Main St
Thompson Falls, MT 59873
Mailing address
PO Box 969
Thompson Falls, MT 59873-0969
Phone (406) 827-4307
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000093800 | Other | MT | BC & BS |
| 38520 | Other | TRIWEST | |
| 0056238 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031213000048 | MT | Practitioner - Family Practice | 5799682282 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
Suite 969
Thompson Falls, MT 59873-0969
Hospital & facility affiliations
- Clark Fork Valley Hospital
- Community Medical Center
- Bonner General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6022 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randy J Lovell DO PC | Family Medicine | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Mineral Regional Health Center, Inc. | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Main Street Medical | Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Director W-2 Managing Employee |
Jun 10, 2007 Jun 10, 2007 Jun 10, 2007 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Nurse Practitioner
- Thompson Falls, MT
- NPI 1447314174
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Thompson Falls, MT
- NPI 1013172675
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Federally Qualified Health Center (FQHC)
- St. Regis, MT
- NPI 1902161995
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1003836313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 969",
"city": "THOMPSON FALLS",
"state": "MT",
"postal_code": "598730969",
"telephone_number": "406-827-4307",
"fax_number": "406-827-9514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 MAIN ST",
"city": "THOMPSON FALLS",
"state": "MT",
"postal_code": "59873",
"telephone_number": "406-827-4307",
"fax_number": "406-827-9514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELL",
"first_name": "RANDY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "6022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC & BS",
"identifier": "000093800",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "38520",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056238",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thompson Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.