Individual provider Active NPI

Chuck Lee Newhouse, MD

  • Family Medicine Physician
  • Bonners Ferry, ID
National Provider Identifier
1356374664
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7989 Issued in ID
Practice address
6641 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone
(208) 267-3655
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M7989 ID Primary

Addresses

Primary practice location

6641 Kaniksu St
Bonners Ferry, ID 83805-7532

Mailing address

PO Box 1640
Bonners Ferry, ID 83805-1640

Other identifiers 1

IdentifierTypeStateIssuer
M7989OtherIDSTATE LICENSE NUMBER

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
I20051123000186 ID Practitioner - Family Practice 7517951627 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7989IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boundary Community Hospital CurrentSince Feb 22, 2001 Accepting new patients
Boundary Community Hospital CurrentSince Feb 22, 2001 Accepting new patients
Main Street Medical LLC Family Medicine PastSince Sep 13, 2001 Accepting new patients
Boundary Community Hospital Family Medicine Past Accepting new patients

Locations

6641 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356374664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1640",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838051640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 KANIKSU ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057532",
            "telephone_number": "208-267-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWHOUSE",
        "first_name": "CHUCK",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M7989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "M7989",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

Verify at the official NPI Registry.