Keith C Hewel, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

M-6804 Issued in ID

Practice address

700 W Ironwood Dr
Suite 110
Coeur D Alene, ID 83814-2656

Phone

(208) 666-3200

Fax

(208) 666-3217

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• North Idaho Imaging Center

  • Diagnostic Radiology Physician
  • Coeur D Alene, ID
  • NPI 1457353450
  NPD (past)
• North Idaho MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Coeur D Alene, ID
  • NPI 1265425029
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1316948409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1829",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838161829",
            "telephone_number": "208-666-3200",
            "fax_number": "208-666-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR",
            "address_2": "SUITE 110",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142656",
            "telephone_number": "208-666-3200",
            "fax_number": "208-666-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWEL",
        "first_name": "KEITH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-6804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE- RANI",
            "identifier": "1134798",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ID - PF",
            "identifier": "B1279",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - RANI",
            "identifier": "P00099930",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003724900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300068472",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8218695",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ID - RANI",
            "identifier": "DD537",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ID - CDA",
            "identifier": "DD545",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan E Herbst, PN MS AOCN
• Preston Lee Herdt, LMFT
• Amanda Herfurth
• Bridget Ann Herndon Lee, OTR/L
• Heidi A Herold, MD
• Abigail Hickman, PT, DPT
• Brian J. Hickok, MD
• Caleb Russell Hiebert, DPT
• Mandee Hiebert, LPC
• Dawn Marie Higgins, DPT

• Diagnostic Radiology Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.