Hanson Mouanoutoua
NPI 1417489345ActiveIndividual· Hospitalist· Coeur D Alene, ID
Hospitalist with Kootenai Health Inc, practicing in Coeur D Alene, Idaho. 595 Medicare patients in 2024, $93,261 paid; nearly all of their 444 Part D prescriptions were generic (91%). Lists Bonner General Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1417489345 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2017 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | O-1696 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 595 |
|---|---|
| Services billed | 1,058 across 15 procedure codes |
| Paid by Medicare | $93,261 |
Part D prescriptions in 2024
| Prescriptions (claims) | 444 · 453 30-day fills |
|---|---|
| Patients | 199 |
| Total drug cost | $26,614 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Hospitalist |
Medical group
- Kootenai Health IncOrofino, ID · 399 clinicians
Hospital affiliations
- Bonner General HospitalSandpoint, ID
- Kootenai HealthCoeur D'Alene, ID
- Northwest Specialty HospitalPost Falls, ID
- Tri-State Memorial HospitalClarkston, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other hospitalists in Coeur D Alene
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All 30 hospitalists in Coeur D Alene · All hospitalists in Idaho