NPIMap

Individual provider Active NPI

Kelly McGrath, MD

  • Family Medicine Physician
  • Orofino, ID
National Provider Identifier
1609871060
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M6320 Issued in ID
Practice address
301 Cedar St
Orofino, ID 83544-9029
Phone
(208) 476-4555
Fax
(208) 476-5385
NPI assigned
Jun 14, 2005
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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 M6320 ID Primary

Addresses

Primary practice location

301 Cedar St
Orofino, ID 83544-9029

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 476-5777

Other identifiers 2

IdentifierTypeStateIssuer
F25998OtherIDUPIN #
003833500MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000112 ID Practitioner - Family Practice 7012800956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearwater Valley Hospital and ClinicsGroup PAC ID 0547173346, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

301 Cedar St
Orofino, ID 83544-9029
Phone (208) 476-5777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6320IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Jan 1, 1994 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Family Medicine CurrentSince Jan 1, 1994 Accepting new patients
St. Mary's Hospital Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Nov 9, 2025 Accepting new patients
St. Mary's Hospital Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Family Medicine Current Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

Interoperability endpoints

  • Direct secure messaging: kellymcgrath@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: kellymcgrath@cvhsmh.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clearwater Valley Hospital & ClinicsOrofino, ID, CCN 131320 Hospital Corporate Director Apr 1, 2020
St. Mary's HealthCottonwood, ID, CCN 131321 Hospital Corporate Director Apr 1, 2020
St Marys Hospital IncCottonwood, ID, CCN 13Z321 Hospital Corporate Director Apr 1, 2020
Clearwater Valley Hospital & ClinicsOrofino, ID, CCN 13Z320 Hospital Corporate Director Apr 1, 2020
Clearwater Valley Hospital & Clinics IncPierce, ID, CCN 133989 Rural health clinic Corporate Director Oct 1, 2014

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Organizations & group practices 7

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1609871060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-476-5777",
            "fax_number": "208-476-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CEDAR ST",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449029",
            "telephone_number": "208-476-4555",
            "fax_number": "208-476-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M6320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN #",
            "identifier": "F25998",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003833500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orofino, ID

Sources for this page

Verify at the official NPI Registry.