Individual provider Active NPI

Richard Worst, M.D.

  • Psychiatry Physician
  • Twin Falls, ID
National Provider Identifier
1063557247
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M3097 Issued in ID
Practice address
526 Shoup Ave W Ste M
Twin Falls, ID 83301-5050
Phone
(208) 734-0446
Fax
(208) 734-1502
NPI assigned
Feb 21, 2007
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M3097 ID Primary

Addresses

Primary practice location

526 Shoup Ave W Ste M
Twin Falls, ID 83301-5050

Mailing address

140 River Vista PL
Twin Falls, ID 83301-3056
Phone (208) 734-0446

Other identifiers 3

IdentifierTypeStateIssuer
000161800MedicaidID
33811OtherIDBLUE CROSS OF IDAHO
000010002459OtherIDREGENCE BLUE SHIELD

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
I20040617001269 ID Practitioner - Psychiatry 0143204933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

140 River Vista PL
Twin Falls, ID 83301-3056
Phone (208) 734-0446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3097IDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard W Worst MD PA Psychiatry CurrentSince Jan 5, 1994 Accepting new patients
Magic Valley Regional Medical Center Past Accepting new patients

Locations

140 River Vista Pl
Twin Falls, ID 83301
Phone (208) 732-0405

526 Shoup Ave W
Ste M
Twin Falls, ID 83301
Phone (208) 734-0446

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1063557247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 RIVER VISTA PL",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013056",
            "telephone_number": "208-734-0446",
            "fax_number": "208-734-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SHOUP AVE W STE M",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015050",
            "telephone_number": "208-734-0446",
            "fax_number": "208-734-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORST",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M3097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000161800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "33811",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010002459",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.