Individual provider Active NPI

Richard Hotchkiss Bale, MD

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1821100223
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00011402 Issued in WA
Practice address
404 W 15TH Ave
Spokane, WA 99203-2110
Phone
(509) 838-8538
Fax
(509) 455-8761
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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 MD00011402 WA Primary

Addresses

Primary practice location

404 W 15TH Ave
Spokane, WA 99203-2110

Mailing address

404 W 15TH Ave
Spokane, WA 99203-2110
Phone (509) 838-8538

Other identifiers 3

IdentifierTypeStateIssuer
13547OtherLABOR & INDUSTRIES
1111665MedicaidWA
080165874OtherPALMETTO RR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100727000354 WA Practitioner - Family Practice 6507999646 Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

823 W 7TH Ave
Suite 400
Spokane, WA 99204-2850
Phone (509) 838-8538

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.08 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.59

National Provider Directory

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

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1821100223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W 15TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032110",
            "telephone_number": "509-838-8538",
            "fax_number": "509-455-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W 15TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032110",
            "telephone_number": "509-838-8538",
            "fax_number": "509-455-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALE",
        "first_name": "RICHARD",
        "middle_name": "HOTCHKISS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00011402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "13547",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111665",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "080165874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.