Individual provider Active NPI

Roberto Amado-Cattaneo, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Great Falls, MT
National Provider Identifier
1073700225
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
16316 Issued in ND
Practice address
1101 26TH St S
5TH Floor
Great Falls, MT 59405-5161
Phone
(406) 731-8888
Fax
(406) 731-8876
NPI assigned
Oct 2, 2007
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 9761 MT
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 23839 NV
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 16316 ND Primary

Addresses

Primary practice location

1101 26TH St S
5TH Floor
Great Falls, MT 59405-5161

Mailing address

801 S Rancho Dr Ste E6
Las Vegas, NV 89106-3812
Phone (702) 240-6482

Other practice location 1

1330 Rockefeller Ave Ste 400
Everett, WA 98201-1676
Phone (425) 261-4950

Other practice location 2

5225 S Durango Dr
Las Vegas, NV 89113-0137
Phone (702) 240-6482

Other identifiers 2

IdentifierTypeStateIssuer
1073700225MedicaidMT
000091638OtherMTBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ramadocataneo236428@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, IL, MT, WI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20170630002142 WA Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 8527955004 Reassigns benefits to 1 organization
I20200402003209 OR Practitioner - Cardiac Surgery 8527955004 Reassigns benefits to 1 organization
I20221012001774 IL Practitioner - Thoracic Surgery 8527955004 Reassigns benefits to 1 organization
I20230728000690 MT Practitioner - Thoracic Surgery 8527955004 Reassigns benefits to 1 organization
I20230810004277 WI Practitioner - Cardiac Surgery 8527955004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3108WIMDChiropractor
23839NVMDPharmacist
9761MTMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Sep 2, 2022 Accepting new patients
Sunnyside Community Hospital Association Surgery CurrentSince Mar 1, 2018 Accepting new patients
McKenzie Physician Services LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 1, 2020 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Mar 1, 2018 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Great Falls Clinic LLC CurrentSince Aug 11, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Virginia Mason Medical Center Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

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

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

208 N Euclid Rd
Grandview, WA 98930
Phone (509) 882-1855

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

Interoperability endpoints

  • Direct secure messaging: amadocar@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ramadocataneo236428@wm.providencedirect.org
  • Direct secure messaging: roberto.amado-cattaneo.3@4690.direct.athenahealth.com

Organizations & group practices 9

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1073700225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE E6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063812",
            "telephone_number": "702-240-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 26TH ST S",
            "address_2": "5TH FLOOR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055161",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Rockefeller Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011676",
            "country_code": "US",
            "telephone_number": "425-261-4950",
            "fax_number": "425-259-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 S Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891130137",
            "country_code": "US",
            "telephone_number": "702-240-6482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMADO-CATTANEO",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MT",
            "license": "9761",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NV",
            "license": "23839",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ND",
            "license": "16316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073700225",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000091638",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ramadocataneo236428@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1330 Rockefeller Ave Ste 400",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.