Active NPI
Richard T Harper, DO
- Family Medicine Physician
- Rigby, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0330
- Practice address
- 711 Rigby Lake Dr
Suite 115
Rigby, ID 83442-5192 - Phone
- (208) 745-5021
- Fax
- (208) 745-5026
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0330 | ID | Primary |
Addresses
Primary practice location
711 Rigby Lake Dr
Suite 115
Rigby, ID 83442-5192
Mailing address
711 Rigby Lake Dr
Suite 115
Rigby, ID 83442-5192
Phone (208) 745-5021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806913700 | Medicaid | ID |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041220000405 | ID | Practitioner - Family Practice | 4981503760 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain View Hospital LLC
Practice addresses (Care Compare)
2305 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-1764
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
2330 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234
2351 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-7310
2353 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-4823
2375 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234
711 Rigby Lake Dr
Suite 1500
Rigby, ID 83442-5374
Phone (208) 745-5021
Hospital & facility affiliations
- Advanced Home Health
- Mountain View Hospital
- Eastern Idaho Regional Medical Center
- Idaho Falls Community Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0330 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Upper Valley Family Medicine PLLC | Family Medicine | Current | Accepting new patients |
| Mountain View Hospital Physician Organization | Past | Accepting new patients |
Locations
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691
711 Rigby Lake Dr
Ste 115
Rigby, ID 83442
Phone (208) 745-5021
530 Rigby Lake Dr
Rigby, ID 83442
Phone (208) 745-5021
711 Rigby Lake Dr
Ste 1500
Rigby, ID 83442
Phone (208) 745-5021
Interoperability endpoints
- richard.harper@uvfm.eclinicaldirectplus.com
Organizations & group practices 3
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 Medicine Physician
- Rigby, ID
- NPI 1073697884
Family Medicine, ID
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1366686826
-
- Home Health Agency
- Pocatello, ID
- NPI 1457858052
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
Hospital
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1477599538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 RIGBY LAKE DR",
"address_2": "SUITE 115",
"city": "RIGBY",
"state": "ID",
"postal_code": "834425192",
"telephone_number": "208-745-5021",
"fax_number": "208-745-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 RIGBY LAKE DR",
"address_2": "SUITE 115",
"city": "RIGBY",
"state": "ID",
"postal_code": "834425192",
"telephone_number": "208-745-5021",
"fax_number": "208-745-5026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "RICHARD",
"middle_name": "T",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "0330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806913700",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rigby, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.