Elena Katherine Phoutrides, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-15295 Issued in ID

Practice address

1000 State St
McCall, ID 83638-3704

Phone

(208) 634-2221

Fax

(208) 634-7112

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, TX2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• P H S Indian Hospital at Browning - Blackfeet Hospital, Browning, MT, CCN 270074
• Logan Health - Shelby Hospital, Shelby, MT, CCN 271328
• Northern Rockies Medical Center Hospital, Cut Bank, MT, CCN 271337

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment Care Compare group NPD
• St Lukes Clinic - McCall LLC

  • Family Medicine Physician
  • McCall, ID
  • NPI 1881982510
  Medicare reassignment NPD
• St Lukes McCall, LTD

  • Family Medicine Physician
  • McCall, ID
  • NPI 1336457738
  NPD (past)
• St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Logan Health - Shelby

  • Critical Access Hospital
  • Shelby, MT
  • NPI 1497742415
  Care Compare affiliation
• Northern Rockies Medical Center, Inc.

  • Critical Access Hospital
  • Cut Bank, MT
  • NPI 1831143080
  Care Compare affiliation

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1093149429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STATE ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836383704",
            "telephone_number": "208-634-2221",
            "fax_number": "208-634-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 W Idaho St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026040",
            "country_code": "US",
            "telephone_number": "208-514-2525",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHOUTRIDES",
        "first_name": "ELENA",
        "middle_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-15295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel P. Ostermiller, MD
• Elizabeth Ostermiller, L.AC., M.AC.
• Lauren Parker, NP-C
• Paul V Hakes OD Inc
• Payette Lakes Medical Clinic, PA
• Planet Three Radiology, Inc.
• Pro-Active Physical Therapy of McCall, PA
• Carol Daigle Ptacek, LPC
• Michael Tobin Purslow, PA
• Amanda Isabel Reguero Valentin, PHARMD

• Family Medicine Physician in McCall, ID
• Providers in McCall, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.
• 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.

Verify at the official NPI Registry.