Active NPI
Thomas Arthur Neal, MD
- Family Medicine Physician
- Coeur D Alene, ID
National Provider Identifier
1922079235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-5556
- Practice address
- 315 W Dalton Ave Ste B
Coeur D Alene, ID 83815-8600 - Phone
- (208) 209-2066
- Fax
- (208) 209-2076
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-5556 | ID | Primary |
Addresses
Primary practice location
315 W Dalton Ave Ste B
Coeur D Alene, ID 83815-8600
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922079235 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040206000224 | ID | Practitioner - Family Practice | 5991698573 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Saint Louis University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Idaho Day Surgery LLC
Practice addresses (Care Compare)
315 W Dalton Ave
Suite B
Coeur D Alene, ID 83815-8600
Phone (208) 209-2066
Hospital & facility affiliations
- Eden Home Health
- North Idaho Home Health
- Hospice of North Idaho
- Northwest Specialty Hospital
- Kootenai Health
- Deaconess Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Idaho Day Surgery LLC | Current | Accepting new patients | |
| North Idaho Day Surgery LLC | Past | Accepting new patients | |
| North Idaho Day Surgery LLC | Past | Accepting new patients | |
| Kootenai Health, Inc. | Past | Accepting new patients |
Locations
7173 E Super 1 Loop
Ste B
Athol, ID 83801
Phone (208) 561-9901
315 W Dalton Ave
Ste B
Coeur D Alene, ID 83815
Phone (208) 209-2066
750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
Interoperability endpoints
- tneal@nwsh.gwaydirect.com
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.
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
-
- Multi-Specialty Clinic/Center
- Athol, ID
- NPI 1417870445
-
- Primary Care Clinic/Center
- Coeur D Alene, ID
- NPI 1942124995
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ponderay, ID
- NPI 1346898830
-
- Community Based Hospice Care Agency
- Coeur D Alene, ID
- NPI 1245235878
Hospice
-
- Home Health Agency
- Coeur D Alene, ID
- NPI 1053620799
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1922079235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545326",
"telephone_number": "208-262-2300",
"fax_number": "208-262-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W DALTON AVE STE B",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158600",
"telephone_number": "208-209-2066",
"fax_number": "208-209-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "THOMAS",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-5556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922079235",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.