NPIMap

Individual provider Active NPI

Frederick Tai, MD

  • Internal Medicine Physician
  • Missoula, MT
National Provider Identifier
1083710495
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8751 Issued in MT
Practice address
2230 N Reserve St
Missoula, MT 59808-1321
Phone
(406) 327-3850
Fax
(406) 327-3851
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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 8751 MT Primary

Addresses

Primary practice location

2230 N Reserve St
Missoula, MT 59808-1321

Mailing address

PO Box 16900
Missoula, MT 59808
Phone (406) 327-4620

Other identifiers 2

IdentifierTypeStateIssuer
0150540MedicaidMT
000092256OtherMTBCBS

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
I20060123001018 MT Practitioner - Internal Medicine 8426072976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians
Sapphire Community Health IncGroup PAC ID 8123153244, 38 clinicians

Practice addresses (Care Compare)

2230 N Reserve St
Suite 402
Missoula, MT 59808-1364
Phone (406) 721-0533

2831 Fort Missoula Rd
Missoula, MT 59804-7401

316 N 3Rd St
Hamilton, MT 59840-2480
Phone (406) 541-0032

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC CurrentSince Jan 16, 2015 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jan 16, 2015 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2835 Fort Missoula Rd
Ste 102
Missoula, MT 59804
Phone (406) 327-3920

2835 Fort Missoula Rd
Ste 101
Missoula, MT 59804
Phone (406) 327-3920

2831 Fort Missoula Rd
Ste 146
Missoula, MT 59804
Phone (406) 327-3850

2831 Fort Missoula Rd
Ste 102
Missoula, MT 59804
Phone (406) 327-3819

Interoperability endpoints

  • Direct secure messaging: ftai@direct.communitymed.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 7

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1083710495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16900",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59808",
            "telephone_number": "406-327-4620",
            "fax_number": "406-549-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081321",
            "telephone_number": "406-327-3850",
            "fax_number": "406-327-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAI",
        "first_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "8751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150540",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000092256",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.