Individual provider Active NPI

Kim Fehir, M.D.

  • Internal Medicine Physician
  • Sheridan, WY
National Provider Identifier
1316929409
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6025A Issued in WY
Practice address
532 Val Vista St
Suite 103
Sheridan, WY 82801-3655
Phone
(307) 674-5400
Fax
(600) 767-4540
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6025A WY Primary

Addresses

Primary practice location

532 Val Vista St
Suite 103
Sheridan, WY 82801-3655

Mailing address

PO Box 30976
Billings, MT 59107-0976
Phone (406) 238-6290

Other identifiers 3

IdentifierTypeStateIssuer
0049114MedicaidMT
308265OtherWYBLUE CROSS
810511516008OtherEBMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11525MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Centers of the Northern Rockies PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kfehir676832@wm.providencedirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316929409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30976",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591070976",
            "telephone_number": "406-238-6290",
            "fax_number": "406-238-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 VAL VISTA ST",
            "address_2": "SUITE 103",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013655",
            "telephone_number": "307-674-5400",
            "fax_number": "600-767-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHIR",
        "first_name": "KIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "6025A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049114",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "308265",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EBMS",
            "identifier": "810511516008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.