NPIMap

Individual provider Active NPI

Louise Belle Halbleib, D.O.

  • Family Medicine Physician
  • Custer, SD
National Provider Identifier
1780118448
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12252 Issued in SD
Practice address
1220 Montgomery St
Custer, SD 57730-1705
Phone
(605) 673-9400
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X SD
Family Medicine Physician 207Q00000X 12252 SD Primary

Addresses

Primary practice location

1220 Montgomery St
Custer, SD 57730-1705

Mailing address

1220 Montgomery St
Custer, SD 57730-1705
Phone (563) 581-3102

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL lhalbleib@monument.health Direct
Direct Messaging Address lhalbleib@monument.health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20201023001595 SD Practitioner - Family Practice 4284906272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City College of Medicine and Surgery, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, shared by 12 NPIs, 163 clinicians
Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians

Practice addresses (Care Compare)

1220 Montgomery St
Custer, SD 57730-1705
Phone (605) 673-4150

502 E Monroe St
Rapid City, SD 57701-1400
Phone (605) 755-4060

Hospital & facility affiliations

  • Monument Health Home Plus Home Health Home health agency, Rapid City, SD, CCN 437003
  • Monument Health Custer Hospital Hospital, Custer, SD, CCN 431323
  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Weston County Health Services Hospital, Newcastle, WY, CCN 531303
  • Fall River Hospital - Cah Hospital, Hot Springs, SD, CCN 431322
  • Monument Health Custer Hospital Nursing home, CCN 43Z323

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0383SDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Sep 21, 2020 Accepting new patients
Monument Health Network, Inc CurrentSince Jun 20, 2024 Accepting new patients
Monument Health Network, Inc. Family Medicine CurrentSince Sep 21, 2020 Accepting new patients

Locations

1220 Montgomery St
Custer, SD 57730
Phone (605) 673-4150

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1780118448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301705",
            "telephone_number": "563-581-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301705",
            "telephone_number": "605-673-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBLEIB",
        "first_name": "LOUISE",
        "middle_name": "BELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "12252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lhalbleib@monument.health",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1220 Montgomery St",
            "city": "Custer",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577301705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhalbleib@monument.health",
            "affiliation": "N",
            "address_1": "1220 Montgomery St",
            "city": "Custer",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577301705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Custer, SD

Sources for this page

Verify at the official NPI Registry.