Individual provider Active NPI

Malua Tambi Iya, M.D.

  • Obstetrics & Gynecology Physician
  • Sidney, MT
National Provider Identifier
1326375270
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
50237 Issued in MT
Practice address
214 14TH Ave SW
Sidney, MT 59270-3521
Phone
(406) 488-2100
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA09353600 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 50237 MT Primary

Addresses

Primary practice location

214 14TH Ave SW
Sidney, MT 59270-3521

Mailing address

216 14TH Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtambi8142406@direct.sanfordhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ND2 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
I20160801000594 MT Practitioner - Obstetrics/Gynecology 8820224645 Reassigns benefits to 2 organizations
I20260520004358 ND Practitioner - Obstetrics/Gynecology 8820224645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50237MTMDObstetrics & Gynecology Physician
25MA09353600NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center Current Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center CurrentSince Jul 11, 2016 Accepting new patients
Sidney Health Center CurrentSince Jul 11, 2016 Accepting new patients
Sidney Health Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

Interoperability endpoints

  • Direct secure messaging: mtambi8142406@direct.sanfordhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1326375270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703519",
            "telephone_number": "406-488-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703521",
            "telephone_number": "406-488-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBI IYA",
        "first_name": "MALUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09353600",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "50237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtambi8142406@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "214 14th Ave SW",
            "city": "Sidney",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592703521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sidney, MT

Sources for this page

Verify at the official NPI Registry.