Richard R Samuel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M7185 Issued in ID

Practice address

8880 N Hess St
Suite 1
Hayden, ID 83835-8716

Phone

(208) 772-5204

Fax

(208) 772-5275

NPI assigned

Aug 8, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2014 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Family Health Care of Post Falls, PLLC

  • Family Medicine Physician
  • Post Falls, ID
  • NPI 1548200181
  NPD (past)
• North Idaho DPC, PLLC

  • Family Medicine Physician
  • Hayden, ID
  • NPI 1124974092
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1285644955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 N. HESS ST.",
            "address_2": "SUITE 1",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-772-5204",
            "fax_number": "208-772-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 N HESS ST",
            "address_2": "SUITE 1",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358716",
            "telephone_number": "208-772-5204",
            "fax_number": "208-772-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "RICHARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M7185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeva Beth Rossow, LMT
• Valerie Joann Rounds, FNP
• Ryon G. Schofield DDS, PC
• Malea L Sampsel, PT
• Carly Briann Sampson, LMT
• Christina Sarto, NP
• Debra Jill Walker Satren, O.T.R.L, , C.H.T.
• Matthew James Saunders
• Kristoff Joseph Saurette, PT
• Katie Lee Savage, M.S., LCPC, LMHC

• Family Medicine Physician in Hayden, ID
• Providers in Hayden, 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 Nov 19, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.