Individual provider Active NPI

Houston Reynolds, MD

  • Family Medicine Physician
  • Montpelier, ID
National Provider Identifier
1609498336
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MRM-1937 Issued in ID
Practice address
164 S 5TH St
Montpelier, ID 83254-1557
Phone
(208) 514-2529
NPI assigned
May 15, 2020
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 MRM-1937 ID Primary

Addresses

Primary practice location

164 S 5TH St
Montpelier, ID 83254-1557

Mailing address

164 S 5TH St
Montpelier, ID 83254-1557

Other practice location 1

166 S 5th St
Montpelier, ID 83254-4959
Phone (208) 847-1110

Other practice location 2

288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230907002109 ID Practitioner - Family Practice 4981027406 Reassigns benefits to 1 organization
I20250509000918 UT Practitioner - Family Practice 4981027406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bear Lake County Memorial HospitalGroup PAC ID 5395799860, shared by 8 NPIs, 31 clinicians

Practice addresses (Care Compare)

164 S
5TH
Montpelier, ID 83254-1557

164 S 5TH St
Montpelier, ID 83254-1557

166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-1110

288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630

465 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital CurrentSince Jul 20, 2023 Accepting new patients
Bear Lake County Memorial Hospital Family Medicine CurrentSince Jul 20, 2023 Accepting new patients
Bear Lake County Memorial Hospital Past Accepting new patients
Bear Lake County Memorial Hospital Past Accepting new patients

Locations

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

166 S 5th St
Montpelier, ID 83254
Phone (208) 847-1110

465 Washington St
Montpelier, ID 83254
Phone (208) 847-2878

467 Washington St
Montpelier, ID 83254
Phone (208) 847-4495

Interoperability endpoints

  • Direct secure messaging: hreynolds642196@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1609498336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541557",
            "telephone_number": "208-514-2529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "ID",
            "postal_code": "832544959",
            "country_code": "US",
            "telephone_number": "208-847-1110",
            "fax_number": "208-847-0288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "288 S Paradise Pkwy",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "UT",
            "postal_code": "840287909",
            "country_code": "US",
            "telephone_number": "435-255-1630",
            "fax_number": "435-946-9124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "HOUSTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, ID

Sources for this page

Verify at the official NPI Registry.