Individual provider Active NPI

Carla M Kingsley, DO

  • Cardiovascular Disease Physician
  • Helena, MT
National Provider Identifier
1174523849
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11657 Issued in MT
Practice address
4119 Fox Hollow Dr
Helena, MT 59602-6006
Phone
(406) 438-1250
Fax
(406) 227-1591
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34004184 OH
Cardiovascular Disease Physician 207RC0000X 11657 MT Primary

Addresses

Primary practice location

4119 Fox Hollow Dr
Helena, MT 59602-6006

Mailing address

PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500

Other identifiers 2

IdentifierTypeStateIssuer
000000352645OtherOHANTHEM
0930738MedicaidOH

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
I20080707000139 MT Practitioner - Cardiovascular Disease (Cardiology) 9032160544 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11657MTMDMental Health Counselor
34004184OHMDCardiovascular Disease Physician
1504OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC CurrentSince Jun 12, 2018 Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Mar 1, 2016 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Mar 1, 2016 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Cardiovascular Disease CurrentSince Mar 12, 2020 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jun 12, 2018 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Mar 12, 2020 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Mercy Health-St Ritas Medical Center LLC Cardiovascular Disease Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

2900 12th Ave N
Ste 204E
Billings, MT 59101
Phone (406) 237-5001

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

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

Interoperability endpoints

  • Direct secure messaging: ckingsley@direct.communitymed.org
  • Direct secure messaging: ckingsley@billingsclinic.cernerdirect.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1174523849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100",
            "telephone_number": "406-238-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 FOX HOLLOW DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596026006",
            "telephone_number": "406-438-1250",
            "fax_number": "406-227-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "CARLA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34004184",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "11657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000352645",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.