Active NPI
Richard M Natelson, MD
- Obstetrics & Gynecology Physician
- Salmon, ID
National Provider Identifier
1568588697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M-7890
- Practice address
- 805 Main St
Salmon, ID 83467-0000 - Phone
- (208) 756-6212
- Fax
- (208) 756-6336
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M7890 | ID | |
| Obstetrics & Gynecology Physician | 207V00000X | M-7890 | ID | Primary |
Addresses
Primary practice location
805 Main St
Salmon, ID 83467-0000
Mailing address
203 S Daisy St
Salmon, ID 83467-0000
Phone (208) 756-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805613200 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7890 | ID | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steele Memorial Medical Center | Current | Accepting new patients | |
| Steele Memorial Medical Center | Current | Accepting new patients | |
| Steele Memorial Medical Center | Past | Accepting new patients | |
| Steele Memorial Medical Center | Past | Accepting new patients |
Locations
203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291
805 Main St
Salmon, ID 83467
Phone (208) 282-3495
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.
-
- Critical Access Hospital
- Salmon, ID
- NPI 1851403265
-
- Medicare Defined Swing Bed Hospital Unit
- Salmon, ID
- NPI 1992913479
-
- Clinic/Center
- Salmon, ID
- NPI 1407563265
-
- Rural Health Clinic/Center
- Salmon, ID
- NPI 1922182278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1568588697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S DAISY ST",
"city": "SALMON",
"state": "ID",
"postal_code": "834670000",
"telephone_number": "208-756-5600",
"fax_number": "208-756-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 MAIN ST",
"city": "SALMON",
"state": "ID",
"postal_code": "834670000",
"telephone_number": "208-756-6212",
"fax_number": "208-756-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATELSON",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "M7890",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "M-7890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805613200",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salmon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.