Individual provider Active NPI

Nick M Digiovine, MD

  • Orthopaedic Surgery Physician
  • Butte, MT
National Provider Identifier
1144300526
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
7972 Issued in MT
Practice address
435 S Crystal St
Suite 400
Butte, MT 59701-1515
Phone
(406) 496-3400
Fax
(406) 496-3401
NPI assigned
Oct 17, 2006
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 7972 MT Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 7972 MT

Addresses

Primary practice location

435 S Crystal St
Suite 400
Butte, MT 59701-1515

Mailing address

435 S Crystal St
Suite 400
Butte, MT 59701-1515
Phone (406) 496-3400

Other identifiers 3

IdentifierTypeStateIssuer
0017316MedicaidMT
01120625OtherMTMONTANA STATE IAB
000011051OtherMTBLUE CROSS BLUE SHIELD

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
I20040512000439 MT Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7113916388 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7972MTMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group-Butte LLC Current Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Feb 22, 2021 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

435 S Crystal St
Ste 400
Butte, MT 59701
Phone (406) 496-3456

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1144300526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S CRYSTAL ST",
            "address_2": "SUITE 400",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011515",
            "telephone_number": "406-496-3400",
            "fax_number": "406-496-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S CRYSTAL ST",
            "address_2": "SUITE 400",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011515",
            "telephone_number": "406-496-3400",
            "fax_number": "406-496-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOVINE",
        "first_name": "NICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "7972",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MT",
            "license": "7972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017316",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE IAB",
            "identifier": "01120625",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000011051",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.