Individual provider Active NPI

Ronald W. Tharp, MD

  • Diagnostic Radiology Physician
  • Bozeman, MT
National Provider Identifier
1124080270
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7873 Issued in MT
Practice address
1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone
(406) 587-8631
Fax
(406) 587-1343
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7873 MT Primary

Addresses

Primary practice location

1648 Ellis St Ste 201
Bozeman, MT 59715-8811

Mailing address

1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone (406) 587-8631

Other identifiers 2

IdentifierTypeStateIssuer
0108987MedicaidMT
0144721MedicaidMT

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
I20050801000907 MT Practitioner - Diagnostic Radiology 6406830694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Intercity Imaging LLCGroup PAC ID 0941238042, 13 clinicians
Intercity Radiology PCGroup PAC ID 9830003847, 14 clinicians

Practice addresses (Care Compare)

905 Highland Blvd
Suite 4100
Bozeman, MT 59715-6901
Phone (406) 556-5200

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 587-8631

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
  • Barrett Hospital & Healthcare Hospital, Dillon, MT, CCN 271318
  • Madison Valley Medical Center Hospital, Ennis, MT, CCN 271329
  • Bozeman Health Big Sky Medical Center Hospital, Big Sky, MT, CCN 271389
  • St Peters Health Hospital, Helena, MT, CCN 270003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7873MTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Intercity Imaging LLC CurrentSince Jun 21, 2005 Accepting new patients
Eastern Radiological Associates PC Diagnostic Radiology CurrentSince Jun 16, 2024 Accepting new patients

Locations

2900 12th Ave N
Ste 4E
Billings, MT 59101
Phone (406) 245-6378

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

905 Highland Blvd
Ste 4100
Bozeman, MT 59715
Phone (406) 556-5200

1648 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 556-4649

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

1283 N 14th Ave
Ste 202
Bozeman, MT 59715

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.

Hospital & facility affiliations 9

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1124080270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631",
            "fax_number": "406-587-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631",
            "fax_number": "406-587-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARP",
        "first_name": "RONALD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "7873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108987",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144721",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.