Peter R Handley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301063467 Issued in MI

Practice address

825 N Center Ave
Gaylord, MI 49735-1592

Phone

(989) 731-2140

Fax

(989) 731-2205

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Wayne State University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kalispell Regional Medical Center IncGroup PAC ID 5294644381, 422 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Logan Health Hospice Hospice, Kalispell, MT, CCN 271515
• Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krmcmedicalrecords@krhdirect.org

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.

• Kalispell Regional Medical Center Inc

  dba Logan Health Medical Center

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Otsego Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Gaylord, MI
  • NPI 1376568865
  NPD
• Munson Healthcare Otsego Memorial Hospital

  • Anesthesiology Physician
  • Gaylord, MI
  • NPI 1518982073
  NPD
• Munson Healthcare Otsego Memorial Hospital

  dba Munson Healthcare OMH Medical Group-Gaylord

  • General Practice Physician
  • Gaylord, MI
  • NPI 1821064643
  NPD
• Glacier Regional Pathology, LTD.

  • Anatomic Pathology Physician
  • Kalispell, MT
  • NPI 1619081767
  NPD
• Kalispell Regional Medical Center Inc

  dba Logan Health Breast Center

  • Clinic/Center
  • Kalispell, MT
  • NPI 1235333139
  NPD
• Kalispell Regional Medical Center, Inc

  dba Logan Health Imaging- 1111 Baker

  • Radiology Clinic/Center
  • Whitefish, MT
  • NPI 1073362463
  NPD
• Kalispell Regional Medical Center, Inc.

  dba Northwest Montana Surgical Associates

  • Surgery Physician
  • Kalispell, MT
  • NPI 1972748127
  NPD
• Kalispell Regional Medical Center, Inc

  dba Logan Health Surgical Clinic

  • Surgery Physician
  • Kalispell, MT
  • NPI 1215527403
  NPD (past)

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

• Kalispell Regional Medical Center Inc

  dba Kalispell Regional Healthcare Surgical Specialists

  • Surgical Oncology Physician
  • Kalispell, MT
  • NPI 1053790063

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Logan Health Maternal-Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Kalispell, MT
  • NPI 1053798710

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Logan Health Medical Center

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Logan Health Palliative Medicine

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Kalispell, MT
  • NPI 1477989770

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Logan Health Nephrology

  • Nephrology Physician
  • Kalispell, MT
  • NPI 1700277837

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Logan Health Hospice

  • Community Based Hospice Care Agency
  • Kalispell, MT
  • NPI 1811062524
  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Glacier Oncology

  • Hematology & Oncology Physician
  • Kalispell, MT
  • NPI 1891151122

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Gina Nelson, MD

  • Obstetrics & Gynecology Physician
  • Kalispell, MT
  • NPI 1972982981

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1942375050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 GOLDEN RIDGE LN",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358955",
            "telephone_number": "989-731-2140",
            "fax_number": "989-731-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351592",
            "telephone_number": "989-731-2140",
            "fax_number": "989-731-2205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Louisiana Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Libby",
            "state": "MT",
            "postal_code": "599232159",
            "country_code": "US",
            "telephone_number": "406-751-6725",
            "fax_number": "406-758-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Heritage Way Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013160",
            "country_code": "US",
            "telephone_number": "406-752-8900",
            "fax_number": "406-752-8909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-7870",
            "fax_number": "989-731-7837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3040 Bourn St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "MI",
            "postal_code": "497568134",
            "country_code": "US",
            "telephone_number": "989-786-4877",
            "fax_number": "989-786-2187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Sunnyview Ln",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013129",
            "country_code": "US",
            "telephone_number": "406-751-6725",
            "fax_number": "406-758-5170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDLEY",
        "first_name": "PETER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301063467",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MT",
            "license": "138617",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "138617",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "138617",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103452020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110233602",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "700F960010",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 Sunnyview Ln",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy M Haggerty- Murphy, LMSW
• Robert L Halter, DO
• Michelle L Hamitlon
• Nick Andrew Hamlin, DPT
• Gene Lionel Hancock, RPH
• Samantha Hansen, RN
• David Paul Hansmann, MD
• Laura Glasser Hansmann, R.PH.
• Timothy Martin Harbin, DDS
• Micayla Harland, LMSW, QIDP

• Internal Medicine Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.

Verify at the official NPI Registry.