Paul E Shingledecker, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42849 Issued in MT

Practice address

1200 Westwood Dr
Hamilton, MT 59840-2345

Phone

(406) 363-2211

Fax

(406) 375-4846

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MT, HI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1928/brand/1/csg/62/fhir/r4

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.

• Marcus Daly Memorial Hospital Corporation

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  Medicare reassignment NPD
• Kauai Veterans Memorial Hospital

  • Critical Access Hospital
  • Waimea, HI
  • NPI 1467510743
  Medicare reassignment NPD
• Samuel Mahelona Memorial Hospital

  • Specialist
  • Kapaa, HI
  • NPI 1346419553
  Medicare reassignment NPD
• Marcus Daly Memorial Hospital Corporation

  • Nephrology Physician
  • Hamilton, MT
  • NPI 1235997958
  NPD
• Kauai Veterans Memorial Hospital

  • Specialist
  • Waimea, HI
  • NPI 1467620328
  NPD
• Samuel Mahelona Memorial Hospital

  • Rural Health Clinic/Center
  • Koloa, HI
  • NPI 1033705074
  NPD
• Samuel Mahelona Memorial Hospital

  • Psychiatric Hospital Unit
  • Kapaa, HI
  • NPI 1255406575
  NPD
• Mountain View Medical Group, PC

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1144405200
  NPD (past)
• Mountain View Medical Group, PC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1295787703
  NPD (past)
• Philippe G Lopez MD PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Greenwood Village, CO
  • NPI 1871526897
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1245210392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-363-2211",
            "fax_number": "406-375-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-363-2211",
            "fax_number": "406-375-4846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Main St",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MT",
            "postal_code": "598702846",
            "country_code": "US",
            "telephone_number": "406-777-5522",
            "fax_number": "406-777-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINGLEDECKER",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "42849",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MT",
            "license": "42849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01303502",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245210392",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245210392",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Francis Senn, DPT
• Courtney Charlotte Shanahan, APRN, FNP-C
• Jackson A Shaver, MD
• Sherwood Dental PLLC
• Stephen Blaine Sherwood, DMD
• Blythe Siebenaller, LCSW, LAC
• Peter F Silcher, DDS
• Winnie D Silva-Jeffries, SWLC
• Jeff Simmerman, PT
• Justin Daniel Simmons, DDS

• Internal Medicine Physician in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Internal Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.