Individual provider Active NPI

George Angelo Biancarelli, MD

  • Family Medicine Physician
  • Shelby, MT
National Provider Identifier
1083601108
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9830 Issued in MT
Practice address
670 Park Ave
Shelby, MT 59474-1663
Phone
(406) 434-3100
Fax
(406) 434-3143
NPI assigned
Oct 4, 2005
Last updated
Oct 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9830 MT Primary

Addresses

Primary practice location

670 Park Ave
Shelby, MT 59474-1663

Mailing address

670 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150814012678 WA Practitioner - Emergency MedicinePractitioner - Family Practice 6901830157 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9830MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pend Oreille County Public Hospital District No 1 CurrentSince Sep 1, 2016 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Apr 12, 2018 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Feb 7, 2025 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Sep 1, 2016 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Apr 12, 2018 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

1617 Main St
Oroville, WA 98844
Phone (509) 476-3631

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

Organizations & group practices 7

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1083601108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PARK AVE",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741663",
            "telephone_number": "406-434-3100",
            "fax_number": "406-434-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PARK AVE",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741663",
            "telephone_number": "406-434-3100",
            "fax_number": "406-434-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCARELLI",
        "first_name": "GEORGE",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "9830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, MT

Sources for this page

Verify at the official NPI Registry.