Active NPI
Matthew Rice, DO
- Family Medicine Physician
- Moscow, ID
National Provider Identifier
1073614160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O229
- Practice address
- 803 S Main St Ste 120
Moscow, ID 83843-2695 - Phone
- (208) 848-8300
- Fax
- (509) 444-7806
- NPI assigned
- Sep 25, 2006
- Last updated
- May 23, 2019
- 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 | O229 | ID | Primary |
Addresses
Primary practice location
803 S Main St Ste 120
Moscow, ID 83843-2695
Mailing address
203 N Washington St Ste 300
Spokane, WA 99201-0254
Phone (509) 444-8888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080147977 | Other | ID | RAILROAD MEDICARE |
| 805561800 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 6, 2021 through Dec 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O229 | ID | MD | Family Medicine Physician |
Interoperability endpoints
- matthew.rice@74808515624964.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1073614160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 N WASHINGTON ST STE 300",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010254",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 S MAIN ST STE 120",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432695",
"telephone_number": "208-848-8300",
"fax_number": "509-444-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080147977",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805561800",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.