Individual provider Active NPI

Gregory Richard Staeheli, M.D.

  • Orthopaedic Trauma Physician
  • Minneapolis, MN
National Provider Identifier
1023339645
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
64946 Issued in MN
Practice address
701 Park Ave
Minneapolis, MN 55415
Phone
(612) 873-4220
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 26395 NE
Orthopaedic Surgery Physician 207X00000X M-15175 ID
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Trauma Physician 207XX0801X 64946 MN Primary

Addresses

Primary practice location

701 Park Ave
Minneapolis, MN 55415

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-5084

Other practice location 1

2177 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-6111

Other practice location 2

1 Boone Rd
Bremerton, WA 98312-1898
Phone (360) 475-4847

Other practice location 3

Bldg H 2005 Knight Lane
Navy Medicine Support Command ATTN:Medical Staff Svcs
Jacksonville, FL 32212-0140
Phone (509) 591-2052

Other practice location 4

1 Boone Rd
Bremerton, WA 98312-1898
Phone (360) 475-4847

Other practice location 5

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-5084

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gstaeheli611031@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200719000000 ID Practitioner - Orthopedic Surgery 8224374889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Emory University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

2121 W Ironwood Ctr Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-4680

2177 W Ironwood Ctr Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-6111

2199 W Ironwood Ctr Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-15175IDMDOrthopaedic Surgery Physician
64946MNMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kootenai Health, Inc. Orthopaedic Surgery Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jul 8, 2020 Accepting new patients
Kootenai Health, Inc. CurrentSince Jul 8, 2020 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

2177 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 625-6111

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

1296 E Polston Ave
Ste C
Post Falls, ID 83854
Phone (208) 457-7078

Interoperability endpoints

  • Direct secure messaging: gstaeheli611031@direct.multicare.org

Organizations & group practices 6

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.

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1023339645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "612-873-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2177 W Ironwood Center Dr",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142639",
            "country_code": "US",
            "telephone_number": "208-625-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Boone Rd",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983121898",
            "country_code": "US",
            "telephone_number": "360-475-4847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Bldg H 2005 Knight Lane",
            "address_2": "Navy Medicine Support Command ATTN:Medical Staff Svcs",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322120140",
            "country_code": "US",
            "telephone_number": "509-591-2052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Boone Rd",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983121898",
            "country_code": "US",
            "telephone_number": "360-475-4847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAEHELI",
        "first_name": "GREGORY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "26395",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-15175",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MN",
            "license": "64946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gstaeheli611031@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2177 W Ironwood Center Dr",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838142639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.