Conrad B. Addison, MD

Individual provider Active NPI Pediatric Pulmonology Physician · Salt Lake City, UT

NPI 1194228916 · NPPES record last updated Jun 30, 2026

Key facts

NPI
1194228916
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Pulmonology Physician 2080P0214X
License
12229852-1205 (UT)
Practice address
30 N 1900 E RM 4C104
Salt Lake City, UT 84132-0002
Phone
(801) 408-1618
NPI assigned
Mar 18, 2018
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 10

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

Medicare Care Compare profile

Specialty
Pulmonary Disease
Education
University of Washington School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Billings Clinic (814 clinicians)

Practice addresses (Care Compare)

201 Yellowstone Ave
Cody, WY 82414-9313
Phone (307) 527-7561

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

  • Billings Clinic Hospital Hospital · Billings, MT · CCN 270004
  • Intermountain Health St Vincent Regional Hospital Hospital · Billings, MT · CCN 270049

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MT, WY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220715001597 MT Practitioner - Sleep Medicine 2365797743 Reassigns benefits to 1 organization
I20230921001526 WY Practitioner - Pulmonary Disease 2365797743 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-RES-LIC-67459MTMDInternal Medicine Physician
12229852-1205UTMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Valley Healthcare Inc Internal Medicine Current
since Aug 1, 2024
Accepting new patients
Billings Clinic Internal Medicine Current
since Aug 1, 2022
Accepting new patients
Powell Valley Health Care Inc Current
since Aug 1, 2024
Accepting new patients
Billings Clinic Current
since Aug 1, 2022
Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Internal Medicine Current
since Aug 8, 2023
Accepting new patients
University of Utah Pediatric Services Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

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

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

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

Interoperability endpoints

  • Direct secure messaging: caddison@billingsclinic.cernerdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 12229852-1205 UT
Pediatric Pulmonology Physician 2080P0214X 12229852-1205 UT Yes
Internal Medicine Physician 207R00000X MED-RES-LIC-67459 MT
Sleep Medicine (Internal Medicine) Physician 207RS0012X 109458 MT

Addresses

Primary practice location

30 N 1900 E RM 4C104
Salt Lake City, UT 84132-0002

Mailing address

30 N 1900 E RM 4C104
Salt Lake City, UT 84132-0002
Phone (801) 408-1618

Other practice location 1

2800 10th Ave N
Billings, MT 59101
Phone (406) 238-2500

Other practice location 2

350 Heritage Way Ste 2300
Kalispell, MT 59901-3167
Phone (406) 751-5455

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center Inc
Direct Messaging Address caddison@billingsclinic.cernerdirect.com Direct
Direct Messaging Address CADDISON510358@DIRECT.MED.UTAH.EDU Direct University of Utah

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2026.

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1194228916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 4C104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-408-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 4C104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-408-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 10th Ave N",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "59101",
            "country_code": "US",
            "telephone_number": "406-238-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Heritage Way Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013167",
            "country_code": "US",
            "telephone_number": "406-751-5455",
            "fax_number": "406-257-8996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "CONRAD",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-18",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "UT",
            "license": "12229852-1205",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "UT",
            "license": "12229852-1205",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "MED-RES-LIC-67459",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MT",
            "license": "109458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 Heritage Way Ste 2300",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caddison@billingsclinic.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2800 10th Ave N",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CADDISON510358@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Pediatric Pulmonology Physician in Utah

Sources for this page

Verify at the official NPI Registry.