Individual provider Active NPI

Robert Clase, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbia Falls, MT
National Provider Identifier
1174834873
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25643 Issued in MT
Practice address
715 Nucleus Ave
Columbia Falls, MT 59912-4015
Phone
(574) 215-7929
Fax
(406) 755-0545
NPI assigned
Jun 28, 2010
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25643 MT Primary

Addresses

Primary practice location

715 Nucleus Ave
Columbia Falls, MT 59912-4015

Mailing address

243 McWenneger Dr
Kalispell, MT 59901-7794

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422002029 MT Practitioner - Podiatry 9436399466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

298 Osloski Rd
Eureka, MT 59917-9058
Phone (406) 297-3145

715 Nucleus Ave
Columbia Falls, MT 59912-4015
Phone (406) 730-3669

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue111
Removal of skin lesions19
Removal of nail tissue671
Removal or shaving of skin growth502
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25643MTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Flathead Family Foot Care PC Foot & Ankle Surgery CurrentSince Feb 8, 2016 Accepting new patients

Locations

715 Nucleus Ave
Columbia Fls, MT 59912
Phone (406) 730-3669

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

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1174834873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MCWENNEGER DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 NUCLEUS AVE",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599124015",
            "telephone_number": "574-215-7929",
            "fax_number": "406-755-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASE",
        "first_name": "ROBERT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "25643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Falls, MT

Sources for this page

Verify at the official NPI Registry.