NPIMap

Individual provider Active NPI

David Shalan Pucci, D.O.

  • Pulmonary Disease Physician
  • Billings, MT
National Provider Identifier
1376629436
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2010-00516 Issued in NC
Practice address
801 N 29TH St
Billings, MT 59101
Phone
(406) 238-2500
NPI assigned
Oct 31, 2006
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2010-00516 NC
Pulmonary Disease Physician 207RP1001X 2010-00516 NC Primary
Internal Medicine Physician 207R00000X 2010-00516 NC

Addresses

Primary practice location

801 N 29TH St
Billings, MT 59101

Mailing address

PO Box 35100
Billings, MT 59107-5100

Other practice location 1

30 Choctaw St
Asheville, NC 28801-4513
Phone (828) 255-7733

Other practice location 2

30 Choctaw St
Asheville, NC 28801-4513
Phone (828) 255-7733

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpucci@billingsclinic.cernerdirect.com Direct

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
I20180522000655 MT Practitioner - Pulmonary Disease 7113050022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
West Virginia School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00516NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Jul 1, 2018 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

Interoperability endpoints

  • Direct secure messaging: davidpucci@apcca.allscriptsdirect.net
  • Direct secure messaging: dpucci@billingsclinic.cernerdirect.com

Organizations & group practices 5

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 10

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1376629436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59101",
            "telephone_number": "406-238-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Choctaw St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014513",
            "country_code": "US",
            "telephone_number": "828-255-7733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Choctaw St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014513",
            "country_code": "US",
            "telephone_number": "828-255-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "DAVID",
        "middle_name": "SHALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2010-00516",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2010-00516",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpucci@billingsclinic.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 N 29th St",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.