Richard Michael Allen, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

P-143 Issued in ID

Practice address

1630 23Rd Ave
Suite 1001
Lewiston, ID 83501-6350

Phone

(208) 743-3688

Fax

(208) 743-5162

NPI assigned

Aug 11, 2005

Last updated

Nov 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: rallen@footdocallen.emadirect.md

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.

• Syringa Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Lewiston, ID
  • NPI 1457345530
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1093717787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 23RD AVE",
            "address_2": "SUITE 1001",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016350",
            "telephone_number": "208-743-3688",
            "fax_number": "208-743-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 23RD AVE",
            "address_2": "SUITE 1001",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016350",
            "telephone_number": "208-743-3688",
            "fax_number": "208-743-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P-143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD OF ID",
            "identifier": "000010015686",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027887",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "P9186",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline M Aldrich, BSW, BI
• Rebecca J Alexander, PH.D
• Jordan Patrick Alfrey, DPT
• Brandy L Allen
• Laura Ann Allen, OTR
• Alli Inclusion Support Services
• Alliance Healthcare Services Inc
• Cheryl M Allman, LPC
• Alpowa Healthcare, Inc. (Elite Home Health and Hospice)
• Alternative Nursing Home Health Services Inc (Ans)

• Foot & Ankle Surgery Podiatrist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Foot & Ankle Surgery Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.