Active NPI
Mark Ross Comaratta, M.D.
- Ophthalmology Physician
- Bozeman, MT
National Provider Identifier
1144286121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 12335
- Practice address
- 1940 W Dickerson St
Suite 103
Bozeman, MT 59718-6851 - Phone
- (406) 284-2370
- Fax
- (406) 284-2372
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Amherst, NY
- NPI 1093860843
Ophthalmology
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12335 | MT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc F Comaratta MD PC | Ophthalmology | Current | Accepting new patients |
| University Ophthalmology Services Inc. | Ophthalmology | Past | Accepting new patients |
Locations
1940 W Dickerson St
Ste 103
Bozeman, MT 59718
Phone (406) 224-2370
Interoperability endpoints
- mcomaratta@bozeman.intellechartdirect.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 12335 | MT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1940 W Dickerson St
Suite 103
Bozeman, MT 59718-6851
Mailing address
1940 W Dickerson St
Suite 103
Bozeman, MT 59718-6851
Phone (406) 284-2370
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144286121 | Medicaid | MT |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2013.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1144286121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 W DICKERSON ST",
"address_2": "SUITE 103",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186851",
"telephone_number": "406-284-2370",
"fax_number": "406-284-2372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 W DICKERSON ST",
"address_2": "SUITE 103",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186851",
"telephone_number": "406-284-2370",
"fax_number": "406-284-2372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMARATTA",
"first_name": "MARK",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MT",
"license": "12335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144286121",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.