Daniel Loren Faaborg, MD
Individual provider Active NPI Urology Physician · Billings, MT
NPI 1265724470 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1265724470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 58501 (MT)
- Practice address
- 2900 12TH Ave N Ste 500E
Billings, MT 59101-7500 - Phone
- (406) 237-5400
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Washington School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional West Physicians Clinic
SCL Health Medical Group - Billings LLC
Practice addresses (Care Compare)
2 W 42ND St
Scottsbluff, NE 69361-4669
2900 12TH Ave N
Suite 160W
Billings, MT 59101-7508
Phone (406) 237-4580
3911 Ave B
Scottsbluff, NE 69361-4617
Hospital & facility affiliations
- Regional West Medical Center
- Intermountain Health St Vincent Regional Hospital
- Community Hospital
- Box Butte General Hospital
- Kimball Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 16 |
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NE, 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 |
|---|---|---|---|---|
| I20170821002678 | NE | Practitioner - Urology | 2860764115 | Reassigns benefits to 3 organizations |
| I20170915002215 | MT | Practitioner - Urology | 2860764115 | Reassigns benefits to 2 organizations |
| I20180201001116 | WY | Practitioner - Urology | 2860764115 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58501 | MT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings, LLC | Current |
Accepting new patients | |
| SCL Health Montana | Current | Accepting new patients | |
| SCL Health Montana | Urology | Current |
Accepting new patients |
| SCL Health Medical Group - Billings LLC | Current |
Accepting new patients | |
| Regional West Physicians Clinic | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
2900 12th Ave N
Ste 500E
Billings, MT 59101
Phone (406) 238-6380
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999
2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
720 Lindsay Ln
Ste A
Cody, WY 82414
Phone (307) 578-1800
1025 9th St
Cody, WY 82414
Phone (307) 578-2955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 58501 | MT | Yes |
Addresses
Primary practice location
2900 12TH Ave N Ste 500E
Billings, MT 59101-7500
Mailing address
2900 12TH Ave N
Ste 160W
Billings, MT 59101-7508
Phone (406) 237-5400
Other practice location 1
11234 Anderson St
Graduate Medical Education Office CSP 21005
Loma Linda, CA 92354-2804
Phone (909) 558-4806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265724470 | Medicaid | MT |
Other providers in Billings, MT
- Eye Physicians & Surgeons PLLC
- Eye Physicians Optical
- Eyemart Express LLC
- Eyemart Express, LTD.
- Douglas T. Ezell
- Mary Fahlman
- Roxanne Fahrenwald
- Cara Fairbanks
- Alfred D Falcon
- Jamie Falcon
All providers in Billings, MT · Urology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.