Deborah H. Sogge-Kermani, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10103 Issued in MT

Practice address

42628 Flathead View Dr
Polson, MT 59860-8082

Phone

(406) 883-1330

Fax

(406) 883-1330

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 17, 2022 through Mar 17, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1295749604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42628 FLATHEAD VIEW DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598608082",
            "telephone_number": "406-883-1330",
            "fax_number": "406-883-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42628 FLATHEAD VIEW DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598608082",
            "telephone_number": "406-883-1330",
            "fax_number": "406-883-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOGGE-KERMANI",
        "first_name": "DEBORAH",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MONTANA LICENSE",
            "identifier": "10103",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Jean Smith, CMT
• Lisa Smith
• Terry A Smith, D.O.
• Todd James Smith
• Victoria J Smith, LMT, CST
• Carrie F Sorrell, LMT
• Aaron Duncan Sparks, PT
• Bruce Speicher, DO
• St Joseph Hospital Corporation
• St Joseph Hospital Corporation

• All providers in Polson, MT
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.