Active NPI
Mathias H Fettig, DPM
- Podiatrist
- Billings, MT
National Provider Identifier
1124099585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 80
- Practice address
- 3419 Central Ave
Ste B
Billings, MT 59102-6647 - Phone
- (406) 245-0888
- Fax
- (406) 245-1322
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 80 | MT | Primary |
Addresses
Primary practice location
3419 Central Ave
Ste B
Billings, MT 59102-6647
Mailing address
3419 Central Ave
Ste B
Billings, MT 59102-6647
Phone (406) 245-0888
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01017556 | Other | MT | UNITED HEALTHCARE |
| 94500 | Other | MT | BCBS |
| 80 | Other | MT | STATE LICENSE |
| P00062610 | Other | MT | RAILROAD MEDICARE |
| 0390762 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1124099585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 CENTRAL AVE",
"address_2": "STE B",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591026647",
"telephone_number": "406-245-0888",
"fax_number": "406-245-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 CENTRAL AVE",
"address_2": "STE B",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591026647",
"telephone_number": "406-245-0888",
"fax_number": "406-245-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETTIG",
"first_name": "MATHIAS",
"middle_name": "H",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MT",
"license": "80",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "01017556",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "94500",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "80",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00062610",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0390762",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.