Individual provider Active NPI

Lisa Anne Malody, M.D.

  • Internal Medicine Physician
  • Billings, MT
National Provider Identifier
1134224967
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11589 Issued in MT
Practice address
2900 12TH Ave N
Suite 310W
Billings, MT 59101-7506
Phone
(406) 238-6900
Fax
(406) 238-6939
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SCL Health Medical Group - Billings LLC 291 clinicians

Practice addresses (Care Compare)

2900 12TH Ave N
Suite 245W
Billings, MT 59101-7586
Phone (406) 238-6010

Hospital & facility affiliations

  • St John'S United Home Health Home health agency, Billings, MT, CCN 277098
  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

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
I20080131000377 MT Practitioner - Internal Medicine 1254317092 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11589MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings LLC CurrentSince Dec 31, 2014 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Dec 31, 2014 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Antelope Medical Consultants LLC Internal Medicine PastSince Jun 24, 2004 Accepting new patients

Locations

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

2900 12th Ave N
Ste 245W
Billings, MT 59101
Phone (406) 237-3620

2900 12th Ave N
Ste 310W
Billings, MT 59101
Phone (406) 238-6900

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

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Interoperability endpoints

  • Direct secure messaging: lmalody33104@direct.intermountainhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11589 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

2900 12TH Ave N
Suite 310W
Billings, MT 59101-7506

Mailing address

2900 12TH Ave N
Suite 310W
Billings, MT 59101-7506
Phone (406) 238-6900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2014.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1134224967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "SUITE 310W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-238-6900",
            "fax_number": "406-238-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "SUITE 310W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-238-6900",
            "fax_number": "406-238-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALODY",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "11589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.