NPIMap

Individual provider Active NPI

John Benjamin Draper, M.D.

  • Anesthesiology Physician
  • Missoula, MT
National Provider Identifier
1376767897
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MED-PHYS-LIC-40778 Issued in MT
Practice address
2825 Stockyard Rd
Ste I-200
Missoula, MT 59808-1503
Phone
(406) 728-8420
Fax
(406) 541-8430
NPI assigned
Apr 13, 2007
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7734911-1205 UT
Anesthesiology Physician 207L00000X MED-PHYS-LIC-40778 MT Primary
Anesthesiology Physician 207L00000X MD2011-0008 NM
Critical Care Medicine (Anesthesiology) Physician 207LC0200X MED-PHYS-LIC-40778 MT

Addresses

Primary practice location

2825 Stockyard Rd
Ste I-200
Missoula, MT 59808-1503

Mailing address

PO Box 17527
Missoula, MT 59808-7527
Phone (406) 728-8420

Other practice location 1

2825 Stockyard Rd Ste I-200
Missoula, MT 59808-1548
Phone (406) 728-8420

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
I20150707000076 MT Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 9830368927 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missoula Anesthesiology PCGroup PAC ID 5597669960, 45 clinicians

Practice addresses (Care Compare)

500 W Broadway
St Patrick Hospital
Missoula, MT 59802-4008
Phone (406) 543-7271

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2011-0008NMMDAnesthesiology Physician
7734911-1205UTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jun 15, 2025 Accepting new patients
Providence Health & Services- Washington CurrentSince Jun 15, 2025 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 25, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Jun 15, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Jun 15, 2025 Accepting new patients
Providence Health & Services Mt CurrentSince Sep 25, 2025 Accepting new patients
Providence Medical Institute CurrentSince Nov 29, 2025 Accepting new patients
Providence Health & Services - Washington CurrentSince Jun 15, 2025 Accepting new patients
Providence Health & Services Mt CurrentSince Sep 25, 2025 Accepting new patients
Missoula Anesthesiology, P.C. Anesthesiology CurrentSince Aug 3, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 25, 2025 Accepting new patients
Providence Medical Institute CurrentSince Nov 29, 2025 Accepting new patients
Providence Health & Services - Washington CurrentSince Jun 15, 2025 Accepting new patients

Locations

2360 Mullan Rd
Missoula, MT 59808
Phone (406) 541-4263

2825 Stockyard Rd
Ste I-200
Missoula, MT 59808
Phone (406) 728-4100

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2833 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 542-6559

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

900 N Orange St
Ste 202
Missoula, MT 59802
Phone (406) 327-1670

902 N Orange St
Missoula, MT 59802
Phone (406) 327-3300

Organizations & group practices 15

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.

View all 15

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1376767897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17527",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598087527",
            "telephone_number": "406-728-8420",
            "fax_number": "406-541-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 STOCKYARD RD",
            "address_2": "STE I-200",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081503",
            "telephone_number": "406-728-8420",
            "fax_number": "406-541-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Stockyard Rd Ste I-200",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081548",
            "country_code": "US",
            "telephone_number": "406-728-8420",
            "fax_number": "406-541-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "JOHN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "7734911-1205",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-40778",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "MD2011-0008",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-40778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.