Active NPI
Richard A. Montgomery, M.D.
- Psychiatry Physician
- Caldwell, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M-9072
- Practice address
- 1906 Fairview Ave Ste 220
Caldwell, ID 83605-5432 - Phone
- (208) 795-5072
- NPI assigned
- Jul 10, 2006
- Last updated
- Mar 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M-9072 | ID | Primary |
Addresses
Primary practice location
1906 Fairview Ave Ste 220
Caldwell, ID 83605-5432
Mailing address
PO Box 277976
Atlanta, GA 30384-7976
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1906 Fairview Ave
Suite 220
Caldwell, ID 83605-5432
Phone (208) 459-4667
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Arthritis & Osteoporosis Center PC | Current | Accepting new patients | |
| West Valley Medical Group LLC | Current | Accepting new patients | |
| Eastern Idaho Health Services Inc | Past | Accepting new patients | |
| West Valley Medical Group Specialty Services LLC | Past | Accepting new patients | |
| Ascent Behavioral Health Services | Past | Accepting new patients | |
| Eastern Idaho Health Services Inc | Past | Accepting new patients | |
| West Valley Medical Center, Inc. | Past | Accepting new patients |
Locations
1906 Fairview Ave
Ste 220
Caldwell, ID 83605
Phone (208) 795-5072
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
745 S Progress Ave
Ste 120
Meridian, ID 83642
Phone (208) 795-5073
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- richard.montgomery@hca3.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Caldwell, ID
- NPI 1871673798
-
dba Idaho Arthritis Center
- Legal Medicine
- Meridian, ID
- NPI 1770539298
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1518036169
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
dba Eastern Idaho Regional Medical Center
- Psychiatric Hospital Unit
- Idaho Falls, ID
- NPI 1740287911
-
dba West Valley Medical Center
- General Acute Care Hospital
- Caldwell, ID
- NPI 1891732905
-
- Obesity Medicine (Obstetrics & Gynecology) Physician
- Caldwell, ID
- NPI 1245659093
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Middleton, ID
- NPI 1609818483
-
dba West Valley Medical Center
- General Acute Care Hospital
- Caldwell, ID
- NPI 1891732905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1275567638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277976",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303847976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 FAIRVIEW AVE STE 220",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836055432",
"telephone_number": "208-795-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "RICHARD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M-9072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.