Individual provider Active NPI

Silddy Atilano, M.D.

  • Obstetrics & Gynecology Physician
  • Bozeman, MT
National Provider Identifier
1023374170
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MED-PHYS-LIC-47552 Issued in MT
Practice address
925 Highland Blvd Ste 1210
Bozeman, MT 59715-6905
Phone
(406) 587-9202
NPI assigned
Apr 3, 2012
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MED-PHYS-LIC-47552 MT Primary

Addresses

Primary practice location

925 Highland Blvd Ste 1210
Bozeman, MT 59715-6905

Mailing address

PO Box 35100
Billings, MT 59107-5100

Other practice location 1

400 S Clark St
Butte, MT 59701-2328
Phone (406) 496-3627

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
I20160810002440 MT Practitioner - Obstetrics/Gynecology 4880988054 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince Apr 1, 2020 Accepting new patients
Community Hospital of Anaconda CurrentSince Apr 1, 2020 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Billings Clinic Current Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Billings Clinic Past Accepting new patients
Continental Divide OBGYN, P.L.L.C. Obstetrics & Gynecology PastSince Jul 1, 2016 Accepting new patients
Community Hospital of Anaconda Past Accepting new patients

Locations

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

Interoperability endpoints

  • Direct secure messaging: satilano1199470@wm.providencedirect.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1023374170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HIGHLAND BLVD STE 1210",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156905",
            "telephone_number": "406-587-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Clark St",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597012328",
            "country_code": "US",
            "telephone_number": "406-496-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATILANO",
        "first_name": "SILDDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "MED-PHYS-LIC-47552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.