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NORTH IDAHO UROLOGY, PLLC
NPI 1891834768
Urology in Coeur D Alene, ID

Active since February 06, 2007CLIA Certified · 2 labs
980 W IRONWOOD DR, STE. 104, COEUR D ALENE, ID 83814(208) 667-0621(208) 664-1709 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 26, 2025, Jul 17, 2024 (2 updates tracked since 2024).

About North Idaho Urology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH IDAHO UROLOGY, PLLC (NPI 1891834768) is a healthcare organization registered as an urology in Coeur D Alene, Idaho and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Christine A Chatfield, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1891834768
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNORTH IDAHO UROLOGY, PLLC
Location Address980 W IRONWOOD DR, STE. 104Coeur D Alene, ID 83814-2668
Mailing Address980 W Ironwood Dr, Ste 104Coeur D Alene, ID 83814-2668 · (208) 667-0621 · Fax (208) 664-1709
Phone(208) 667-0621
Fax(208) 664-1709
Organization SubpartNo
Authorized OfficialChristine A ChatfieldBilling Supervisor · (208) 667-0621
Enumeration DateFebruary 6, 2007
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1891834768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in ID · M-3632
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
980 W IRONWOOD DR, Coeur D Alene, ID 83814
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Other Identifiers 3

Medicaid002667200ID
Medicaid002507200ID
Medicaid805898101ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Idaho Urology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to North Idaho Urology, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Roxanne Haslam, MD
Urology
NPI 1205368198
980 W IRONWOOD DR STE 104
Coeur D Alene, ID 83814
(208) 667-0621
✔ PECOS✔ Accepts MedicareSame address
Matthew Mclaughlin, D.O.
Urology
NPI 1215071469
980 W IRONWOOD DR STE 104
Coeur D Alene, ID 83814
(208) 667-0621
✔ PECOS✔ Accepts MedicareSame address
Chad Peterson, M.D.
Urology
NPI 1629284732
980 W IRONWOOD DR STE. 104
Coeur D Alene, ID 83814
(208) 667-0621
✔ PECOS✔ Accepts MedicareSame address
Randil Clark, M.D.
Urology
NPI 1205961182
980 IRONWOOD DR W STE 104
Coeur D' Alene, ID 83814
(208) 667-0621
✔ PECOS✔ Accepts MedicareSame address
Edward Ellison, M.D.
Urology
NPI 1346375235
980 IRONWOOD DR W STE 104
Coeur D' Alene, ID 83814
(208) 667-0621
✔ PECOS✔ Accepts MedicareSame address
David Flores, M.D.
Urology
NPI 1972892669
980 W IRONWOOD DR STE 104
Coeur D Alene, ID 83814
(208) 667-0621
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 13D0522069

North Idaho Urology · Coeur D'alene, ID
Active · expires Sep 26, 2028
CLIA Number13D0522069
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2026
Certificate Expiration DateSeptember 26, 2028
Laboratory DirectorRandil L. Clark
Laboratory Phone(208) 667-0621
Laboratory LocationNorth Idaho Urology980 W Ironwood Dr #104, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2281094

North Idaho Urology PLLC · Post Falls, ID
Active · expires May 1, 2027
CLIA Number13D2281094
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorMatthew Mclaughlin
Laboratory Phone(208) 667-0621
Laboratory LocationNorth Idaho Urology PLLC151 W 3rd Ave Ste 200, Post Falls, ID 83854
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Idaho Urology, PLLC's NPI number?

The NPI number for North Idaho Urology, PLLC is 1891834768. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is North Idaho Urology, PLLC located?

North Idaho Urology, PLLC is located at 980 W Ironwood Dr Ste. 104, Coeur D Alene, ID 83814. The listed phone number is (208) 667-0621.

What is North Idaho Urology, PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is North Idaho Urology, PLLC enrolled in Medicare?

Yes. North Idaho Urology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Idaho Urology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Urology, reassign their Medicare billing to North Idaho Urology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Idaho Urology, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does North Idaho Urology, PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 31 other insurers list North Idaho Urology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Idaho Urology, PLLC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.