Individual provider Active NPI

Michael Scott Richins, D.O.

  • Gastroenterology Physician
  • Idaho Falls, ID
National Provider Identifier
1497028609
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
O-0940 Issued in ID
Practice address
2770 Cortez Ave
Idaho Falls, ID 83404
Phone
(208) 522-4000
Fax
(208) 528-4242
NPI assigned
Feb 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X O-0940 ID Primary

Addresses

Primary practice location

2770 Cortez Ave
Idaho Falls, ID 83404

Mailing address

2770 Cortez Ave
Idaho Falls, ID 83404-7590
Phone (208) 522-4000

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
I20160811000944 ID Practitioner - GastroenterologyPractitioner - Internal Medicine 4981929767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Kansas City University of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Practice addresses (Care Compare)

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

Hospital & facility affiliations

  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
  • Idaho Falls Community Hospital, LLC Hospital, Idaho Falls, ID, CCN 130074
  • Steele Memorial Medical Center Hospital, Salmon, ID, CCN 131305
  • Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy58
Upper gastrointestinal (GI) endoscopy for acid reflux105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-0940IDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Hospital LLC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
St Joseph Hospital LLC Single Specialty CurrentSince May 1, 2017 Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients
Grand Teton Surgical Center LLC PastSince Aug 8, 2018 Accepting new patients

Locations

2770 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 522-4000

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

307 Saint Johns Way
Ste 17
Lewiston, ID 83501
Phone (208) 746-7055

1630 23rd Ave
Ste 701
Lewiston, ID 83501
Phone (208) 743-3998

341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1497028609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047590",
            "telephone_number": "208-522-4000",
            "fax_number": "208-528-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-522-4000",
            "fax_number": "208-528-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHINS",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-17",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "O-0940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.