Individual provider Active NPI

Henry D Covelli, M.D.

  • Pulmonary Disease Physician
  • Post Falls, ID
National Provider Identifier
1174669550
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
M5790 Issued in ID
Practice address
600 N Cecil Rd
Post Falls, ID 83854-6200
Phone
(208) 262-2800
NPI assigned
Jan 30, 2007
Last updated
May 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X M5790 ID Primary

Addresses

Primary practice location

600 N Cecil Rd
Post Falls, ID 83854-6200

Mailing address

PO Box 3727
Coeur D Alene, ID 83816-2529
Phone (866) 805-0885

Other identifiers 1

IdentifierTypeStateIssuer
002128000MedicaidID

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
I20160628001417 ID Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5395751374 Reassigns benefits to 2 organizations
Practice locations: Post Falls, ID

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5790IDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vibra Physicians LLC CurrentSince Jan 1, 2019 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Mar 3, 2018 Accepting new patients
North Idaho Lung, Asthma and Critical Care, LLC. Pulmonary Disease CurrentSince May 6, 2013 Accepting new patients
Inland Cardiology Associates, P.S. PastSince Oct 25, 2009 Accepting new patients
Utah Regional Hospitalists LLC Past Accepting new patients

Locations

700 W Ironwood Dr
Ste 336
Coeur D Alene, ID 83814
Phone (208) 765-1252

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

2131 S Bonito Way
Meridian, ID 83642
Phone (208) 202-4700

600 N Cecil Rd
Post Falls, ID 83854
Phone (208) 262-2800

8081 Royal Ridge Pkwy
Ste 130
Irving, TX 75063
Phone (844) 870-6689

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6242/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1174669550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3727",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838162529",
            "telephone_number": "866-805-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CECIL RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546200",
            "telephone_number": "208-262-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVELLI",
        "first_name": "HENRY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ID",
            "license": "M5790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002128000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.