NPIMap

Individual provider Active NPI

Sandra S McIntyre, M.D.

  • Internal Medicine Physician
  • Dillon, MT
National Provider Identifier
1083695928
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10859 Issued in MT
Practice address
30 Highway 91 South
Suite 107
Dillon, MT 59725
Phone
(406) 683-1188
Fax
(406) 683-6891
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10859 MT Primary

Addresses

Primary practice location

30 Highway 91 South
Suite 107
Dillon, MT 59725

Mailing address

30 Highway 91 South
Suite 107
Dillon, MT 59725
Phone (406) 683-1188

Other identifiers 2

IdentifierTypeStateIssuer
10859OtherMTMONTANA LICENSE
0145730MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SMCINTYRE305631@WM.PROVIDENCEDIRECT.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000859 MT Practitioner - Internal Medicine 8224062054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Mt Hwy 91 S
Dillon, MT 59725-3535
Phone (406) 683-1188

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10859MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Hospital Development Corporation Current Accepting new patients
Barrett Hospital Development Corporation CurrentSince Jan 25, 2017 Accepting new patients
Sweetwater Dillon Opco LLC Past Accepting new patients

Locations

200 N Oregon St
Dillon, MT 59725
Phone (406) 683-5105

30 MT Highway 91 S
Ste 107
Dillon, MT 59725

600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001

30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070

Interoperability endpoints

  • Direct secure messaging: smcintyre305631@wm.providencedirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1083695928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HIGHWAY 91 SOUTH",
            "address_2": "SUITE 107",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "59725",
            "telephone_number": "406-683-1188",
            "fax_number": "406-683-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HIGHWAY 91 SOUTH",
            "address_2": "SUITE 107",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "59725",
            "telephone_number": "406-683-1188",
            "fax_number": "406-683-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "SANDRA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "10859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA LICENSE",
            "identifier": "10859",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145730",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SMCINTYRE305631@WM.PROVIDENCEDIRECT.ORG",
            "affiliation": "N",
            "address_1": "30 Highway 91 South",
            "address_2": "Suite 107",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dillon, MT

Sources for this page

Verify at the official NPI Registry.