Individual provider Active NPI

Newton Basil Coutinho, MD

  • Cardiovascular Disease Physician
  • Missoula, MT
National Provider Identifier
1124077334
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9628 Issued in MT
Practice address
2419 Mullan Rd Ste a
Missoula, MT 59808-1856
Phone
(406) 541-1400
Fax
(406) 541-1401
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 9628 MT Primary

Addresses

Primary practice location

2419 Mullan Rd Ste a
Missoula, MT 59808-1856

Mailing address

PO Box 6011
Missoula, MT 59806-6011
Phone (406) 541-1400

Other identifiers 5

IdentifierTypeStateIssuer
1124077334MedicaidMT
P000061297OtherRAILROAD MEDICARE
97286OtherMTBCBSMT
1124077334OtherMTTRICARE
1129013OtherIDIDAHO MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Missoula

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20031213000069 MT Practitioner - Cardiovascular Disease (Cardiology) 6406752187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2419 Mullan Rd
Suite a
Missoula, MT 59808-1856
Phone (406) 541-1400

Hospital & facility affiliations

  • Partners in Home Care Inc Home health agency, Missoula, MT, CCN 277032
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • St Luke Community Hospital Hospital, Ronan, MT, CCN 271325
  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340
  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • Community Hospital of Anaconda Hospital, Anaconda, MT, CCN 271335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9628MTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P a Kelly MD PLLC CurrentSince Apr 22, 2017 Accepting new patients
Newton B. Coutinho MD PLLC CurrentSince May 2, 2007 Accepting new patients
Providence Health & Services Mt Cardiovascular Disease Past Accepting new patients
Montana Heart Center Cardiology, PLLC Cardiovascular Disease PastSince Jan 1, 2004 Accepting new patients

Locations

1102 Main St
Salmon, ID 83467
Phone (208) 756-8550

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1200 S Reserve St
Ste H
Missoula, MT 59801
Phone (406) 543-9200

2419 Mullan Rd
Ste A
Missoula, MT 59808
Phone (406) 541-1400

2875 Tina Ave
Ste 111
Missoula, MT 59808
Phone (406) 541-1400

Interoperability endpoints

  • Direct secure messaging: newton.coutinho.p1@direct.missoulacardiology.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1124077334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6011",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598066011",
            "telephone_number": "406-541-1400",
            "fax_number": "406-541-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 MULLAN RD STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081856",
            "telephone_number": "406-541-1400",
            "fax_number": "406-541-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTINHO",
        "first_name": "NEWTON",
        "middle_name": "BASIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "9628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124077334",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P000061297",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMT",
            "identifier": "97286",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1124077334",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO MEDICARE",
            "identifier": "1129013",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Missoula",
            "affiliation": "N",
            "address_1": "2419 Mullan Rd Ste A",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598081856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.