Individual provider Active NPI

Charles McClave, MD

  • Internal Medicine Physician
  • Billings, MT
National Provider Identifier
1023059094
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4217 Issued in MT
Practice address
2900 12TH Ave N
Suite 160W
Billings, MT 59101-7506
Phone
(406) 237-8500
Fax
(406) 237-8501
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4217 MT Primary

Addresses

Primary practice location

2900 12TH Ave N
Suite 160W
Billings, MT 59101-7506

Mailing address

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3850

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000210 MT Practitioner - Internal Medicine 6800921867 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4217MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Montana - TCS PC Internal Medicine CurrentSince Feb 12, 2022 Accepting new patients
SCL Health Montana CurrentSince Nov 17, 1997 Accepting new patients
Cogent Healthcare of Montana P C Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
SCL Health Montana Current Accepting new patients
SCL Health Montana CurrentSince Nov 17, 1997 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2900 12th Ave N
Ste 140W
Billings, MT 59101
Phone (406) 237-5050

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

1233 N 30th St
Ofc
Billings, MT 59101

2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1023059094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N 30TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010127",
            "telephone_number": "406-237-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "SUITE 160W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-237-8500",
            "fax_number": "406-237-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAVE",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "4217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.