Individual provider Active NPI

Michael W Monohan I, D.O.

  • Family Medicine Physician
  • Post Falls, ID
National Provider Identifier
1942298054
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0392 Issued in ID
Practice address
1220 E. Polston Ave
Post Falls, ID 83854
Phone
(208) 773-1577
Fax
(208) 773-8585
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X O-0392 ID
Family Medicine Physician 207Q00000X O-0392 ID Primary

Addresses

Primary practice location

1220 E. Polston Ave
Post Falls, ID 83854

Mailing address

1220 E Polston Ave
Post Falls, ID 83854
Phone (208) 773-1577

Other identifiers 2

IdentifierTypeStateIssuer
807435000MedicaidID
8932815OtherL AND I CRIME VICTIMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060727000299 ID Practitioner - Family Practice 5799798393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Falls Family Medicine P.a.Group PAC ID 5991780488, 7 clinicians

Practice addresses (Care Compare)

1220 E Polston Ave
Post Falls, ID 83854-6056
Phone (208) 773-1577

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-0392IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Falls Family Medicine P.a. Family Medicine CurrentSince Jun 1, 2006 Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations

1220 E Polston Ave
Post Falls, ID 83854
Phone (208) 773-1577

Interoperability endpoints

  • Direct secure messaging: michael.monohan.p3@direct.kootenai.nextgenshare.com

Organizations & group practices 2

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 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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1942298054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-773-1577",
            "fax_number": "208-773-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E. POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-773-1577",
            "fax_number": "208-773-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONOHAN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "O-0392",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807435000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I CRIME VICTIMS",
            "identifier": "8932815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.