Individual provider Active NPI

Dennis P Ruggerie, DO

  • Pediatric Cardiology Physician
  • Great Falls, MT
National Provider Identifier
1336140276
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
6498 Issued in MT
Practice address
3000 15TH Ave S
Great Falls, MT 59405
Phone
(406) 454-2171
Fax
(406) 771-3021
NPI assigned
Aug 2, 2005
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 6498 MT Primary

Addresses

Primary practice location

3000 15TH Ave S
Great Falls, MT 59405

Mailing address

3000 15TH Ave S
Great Falls, MT 59405-5240

Other practice location 1

937 Highland Blvd Ste 5320
Bozeman, MT 59715-6916
Phone (406) 414-4900

Other identifiers 1

IdentifierTypeStateIssuer
0082836MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000488 MT Practitioner - Pediatric MedicinePractitioner - Other (Physician) 8426193533 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6498MTMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital CurrentSince Mar 8, 2019 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Sep 21, 2019 Accepting new patients
Seattle Childrens Hospital CurrentSince Mar 8, 2019 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Sep 21, 2019 Accepting new patients
Benefis Hospitals Inc CurrentSince Oct 15, 2018 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

937 Highland Blvd
Ste 5320
Bozeman, MT 59715
Phone (406) 414-4570

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

2510 Bobcat Way
Great Falls, MT 59405
Phone (206) 771-3223

Interoperability endpoints

  • Direct secure messaging: druggerie30321@direct.seattlechildrens.org

Organizations & group practices 8

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1336140276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59405",
            "telephone_number": "406-454-2171",
            "fax_number": "406-771-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "937 Highland Blvd Ste 5320",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156916",
            "country_code": "US",
            "telephone_number": "406-414-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGGERIE",
        "first_name": "DENNIS",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MT",
            "license": "6498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082836",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.