Individual provider Active NPI

John Thieszen, M.D.

  • Hospitalist Physician
  • Billings, MT
National Provider Identifier
1285667816
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
47210 Issued in CO
Practice address
3528 Gabel Rd
Billings, MT 59102-7307
Phone
(970) 391-0572
Fax
(815) 377-2580
NPI assigned
Jul 8, 2006
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47877-020 WI
Internal Medicine Physician 207R00000X 47210 CO
Hospitalist Physician 208M00000X 47210 CO Primary

Addresses

Primary practice location

3528 Gabel Rd
Billings, MT 59102-7307

Mailing address

1281 E Magnolia St
Suite D199
Fort Collins, CO 80524-4796
Phone (970) 391-0572

Other identifiers 3

IdentifierTypeStateIssuer
60427876MedicaidCO
12435OtherMTMT LIC
47210OtherCOCO LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 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

Enrollment IDStateProvider typePAC IDDetails
I20090323000263 CO Practitioner - Internal Medicine 8325105109 Reassigns benefits to 2 organizations
I20150925000325 WY Practitioner - Internal Medicine 8325105109 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47877-020WIMDInternal Medicine Physician
47210COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Apr 1, 2015 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Apr 1, 2015 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Apr 4, 2018 Accepting new patients
Northern Colorado Hospitalists Professional LLC Hospitalist Past Accepting new patients
Square One Health LLC Past Accepting new patients
Kenneth H Weisiger MD PC Internal Medicine Past Accepting new patients

Locations

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

1690 Meade St
Denver, CO 80204
Phone (303) 264-6900

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

3528 Gabel Rd
Billings, MT 59102
Phone (406) 373-8000

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1285667816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 E MAGNOLIA ST",
            "address_2": "SUITE D199",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244796",
            "telephone_number": "970-391-0572",
            "fax_number": "815-377-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 GABEL RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027307",
            "telephone_number": "970-391-0572",
            "fax_number": "815-377-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIESZEN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "47877-020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "47210",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "47210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60427876",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT LIC",
            "identifier": "12435",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO LIC",
            "identifier": "47210",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.