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
Hospital & facility affiliations 10
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
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
- Intermountain Health St Vincent Regional Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MED-RES-LIC-67459 | MT | MD | Internal Medicine Physician |
| 12229852-1205 | UT | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powell Valley Healthcare Inc | Internal Medicine | Current |
Accepting new patients |
| Billings Clinic | Internal Medicine | Current |
Accepting new patients |
| Powell Valley Health Care Inc | Current |
Accepting new patients | |
| Billings Clinic | Current |
Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Internal Medicine | Current |
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
- caddison@billingsclinic.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
{
"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": []
}
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All providers in Salt Lake City, UT · Pediatric Pulmonology Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.