Individual provider Active NPI

Saul M. J. Rivard, M.D.

  • Family Medicine Physician
  • Missoula, MT
National Provider Identifier
1245672914
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47457 Issued in MT
Practice address
4200 Jamie Ann Dr
Missoula, MT 59803-2770
Phone
(000) 000-0000
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47457 MT Primary

Addresses

Primary practice location

4200 Jamie Ann Dr
Missoula, MT 59803-2770

Mailing address

4200 Jamie Ann Dr
Missoula, MT 59803-2770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srivard309181@wm.providencedirect.org Direct

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
I20150312002151 MT Practitioner - Family Practice 2365768165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Missoula Family Medicine PLLCGroup PAC ID 8325377633, 2 clinicians

Practice addresses (Care Compare)

2831 Fort Missoula Rd
Suite 302
Missoula, MT 59804-7401
Phone (406) 493-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Missoula Family Medicine PLLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Hestia in-Home Support LLC Family Medicine CurrentSince Jul 25, 2023 Accepting new patients

Locations

2831 Fort Missoula Rd
Ste 302
Missoula, MT 59804
Phone (406) 493-1600

700 SW Higgins Ave
Ste 102
Missoula, MT 59803
Phone (406) 540-3402

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20386/brand/1/csg/1/fhir/r4
  • Direct secure messaging: saul.rivard.1@20386.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1245672914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 JAMIE ANN DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598032770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 JAMIE ANN DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598032770",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVARD",
        "first_name": "SAUL",
        "middle_name": "M. J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "47457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srivard309181@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2835 Fort Missoula Rd Bldg 3",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.