NPIMap

Individual provider Active NPI

Tyson William Fiala, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kalispell, MT
National Provider Identifier
1346500584
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
92518 Issued in MT
Practice address
40 Four Mile Dr
Ste 8
Kalispell, MT 59901-2655
Phone
(281) 370-0648
NPI assigned
May 22, 2012
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 92518 MT Primary

Addresses

Primary practice location

40 Four Mile Dr
Ste 8
Kalispell, MT 59901-2655

Mailing address

40 Four Mile Dr
Ste 8
Kalispell, MT 59901-2655
Phone (281) 370-0648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304000549 MT Practitioner - Podiatry 4284853797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Four Mile Dr
Suite 8
Kalispell, MT 59901-2655
Phone (406) 755-2818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue148
Removal of skin lesions1-10
Removal of nail tissue680
Removal or shaving of skin growth630
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92518MTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Ahead Foot & Ankle LLC Podiatrist CurrentSince Jan 15, 2021 Accepting new patients
Step Ahead Foot & Ankle Clinic PC Foot & Ankle Surgery PastSince Feb 14, 2021 Accepting new patients

Locations

40 Four Mile Dr
Ste 8
Kalispell, MT 59901
Phone (406) 755-2818

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJIFBA/Endpoint/AJIFBA

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1346500584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOUR MILE DR",
            "address_2": "STE 8",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012655",
            "telephone_number": "281-370-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOUR MILE DR",
            "address_2": "STE 8",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012655",
            "telephone_number": "281-370-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALA",
        "first_name": "TYSON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "92518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.