Ambuj Bhalla
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Great Falls, MT
NPI 1033908470 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1033908470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 173729 (MT)
- Practice address
- 2800 11TH Ave S Ste 24
Great Falls, MT 59405-5263 - Phone
- (406) 771-6300
- Fax
- (406) 731-8318
- NPI assigned
- May 2, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260617000070 | MT | Order and Referring Only - Internal Medicine |
8224500699 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173729 | MT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 173729 | MT | Yes |
Addresses
Primary practice location
2800 11TH Ave S Ste 24
Great Falls, MT 59405-5263
Mailing address
PO Box 6010
Great Falls, MT 59406-6010
Phone (406) 455-5000
Other practice location 1
1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 771-6320
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All providers in Great Falls, MT · Student in an Organized Health Care Education/Training Program in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.