NPIMap

Organization Active NPI

Aim Healthcare Providers Mt, PLLC

  • Family Medicine Physician
  • Missoula, MT
National Provider Identifier
1063356012
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AIM HEALTHCARE PROVIDERS MT, PLLC
Practice address
2425 W Central Ave Ste 203&205
Missoula, MT 59801-6402
Phone
(480) 494-2465
NPI assigned
Apr 17, 2026
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AIM HEALTHCARE PROVIDERS MT, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Kelly Karaniuk
Title
Credentialing Director
Phone
(480) 447-6841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2425 W Central Ave Ste 203&205
Missoula, MT 59801-6402

Mailing address

5525 Granite Pkwy Ste 780
Plano, TX 75024-4364
Phone (480) 494-2465

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2320260Aim Healthcare Providers Mt, PLLC2425 Central Ave Suite 203 & 205, Missoula, MT 59801Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Aim Healthcare Providers Mt2 organizations share this tax ID, including this one
Part of
Aim Healthcare Providers Mt

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1063356012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 GRANITE PKWY STE 780",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244364",
            "telephone_number": "480-494-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W CENTRAL AVE STE 203&205",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016402",
            "telephone_number": "480-494-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIM HEALTHCARE PROVIDERS MT, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIM HEALTHCARE PROVIDERS MT, PLLC",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "KARANIUK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "480-447-6841"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.