Individual provider Active NPI

Donald Roland Skillman, M.D.

  • Infectious Disease Physician
  • Helena, MT
National Provider Identifier
1114915360
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
6289 Issued in MT
Practice address
2475 E Broadway St
Helena, MT 59601-4928
Phone
(406) 457-4180
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 6289 MT Primary

Addresses

Primary practice location

2475 E Broadway St
Helena, MT 59601-4928

Mailing address

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 457-4180

Other practice location 1

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 457-4180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20061018000456 MT Practitioner - Infectious DiseasePractitioner - Internal Medicine 7416953260 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6289MTMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Peter'S Health Current Accepting new patients
St. Peter'S Health CurrentSince Sep 1, 2006 Accepting new patients
St. Peter'S Health CurrentSince Sep 1, 2006 Accepting new patients

Locations

405 Saddle Dr
Helena, MT 59601
Phone (406) 442-0120

2525 E Broadway St
Ste 201
Helena, MT 59601
Phone (406) 447-2828

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1114915360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-457-4180",
            "fax_number": "406-495-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-457-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2475 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014928",
            "country_code": "US",
            "telephone_number": "406-457-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKILLMAN",
        "first_name": "DONALD",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MT",
            "license": "6289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.