Active NPI
August Denicco, MD
- Anesthesiology Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MED-PHYS-LIC-60262
- Practice address
- 2825 Stockyard Rd Ste I-200
Missoula, MT 59808-1548 - Phone
- (406) 728-8420
- Fax
- (406) 541-8430
- NPI assigned
- Apr 22, 2010
- Last updated
- Jul 21, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DR0053632 | CO | |
| Anesthesiology Physician | 207L00000X | MED-PHYS-LIC-60262 | MT | Primary |
| Internal Medicine Physician | 207R00000X | MT196857 | PA |
Addresses
Primary practice location
2825 Stockyard Rd Ste I-200
Missoula, MT 59808-1548
Mailing address
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-0000
Other practice location 1
11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000
Other practice location 2
301 S 7th Ave
West Reading, PA 19611-1410
Phone (610) 988-8198
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Broadway
St Patrick Hospital
Missoula, MT 59802-4008
Phone (406) 543-7271
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR0053632 | CO | MD | Anesthesiology Physician |
| MT196857 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missoula Anesthesiology, P.C. | Anesthesiology | Current | Accepting new patients |
| Ma Critical Care Services, PC | Past | Accepting new patients |
Locations
2360 Mullan Rd
Missoula, MT 59808
Phone (406) 541-4263
2825 Stockyard Rd
Ste I-200
Missoula, MT 59808
Phone (406) 728-4100
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
2833 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 542-6559
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
902 N Orange St
Missoula, MT 59802
Phone (406) 327-3300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Missoula, MT
- NPI 1710931225
-
- Critical Care Medicine (Anesthesiology) Physician
- Missoula, MT
- NPI 1114221983
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Patrick Hospital
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
dba Montana Cancer Center at Providence St. Patrick Hospital
- Medical Oncology Physician
- Missoula, MT
- NPI 1326483587
Hospital
-
dba St Patrick Hospital Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
dba St Patrick Hospital Psych
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
dba Community Medical Center
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013234665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 W 2ND PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281527",
"telephone_number": "720-321-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 STOCKYARD RD STE I-200",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081548",
"telephone_number": "406-728-8420",
"fax_number": "406-541-8430"
}
],
"practiceLocations": [
{
"address_1": "11600 W 2nd Pl",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802281527",
"country_code": "US",
"telephone_number": "720-321-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 S 7th Ave",
"address_purpose": "LOCATION",
"city": "West Reading",
"state": "PA",
"postal_code": "196111410",
"country_code": "US",
"telephone_number": "610-988-8198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENICCO",
"first_name": "AUGUST",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR0053632",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MT",
"license": "MED-PHYS-LIC-60262",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT196857",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.