Individual provider Active NPI

Nathan Judd, DPM

  • Foot & Ankle Surgery Podiatrist
  • Binghamton, NY
National Provider Identifier
1376986281
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
44408 Issued in MT
Practice address
33 Mitchell Ave
Suite 102
Binghamton, NY 13903-1642
Phone
(607) 772-8772
Fax
(607) 772-8795
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 44408 MT Primary

Addresses

Primary practice location

33 Mitchell Ave
Suite 102
Binghamton, NY 13903-1642

Mailing address

35 Legacy Dr
Three Forks, MT 59752-9535
Phone (602) 882-6322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000385 MT Practitioner - Podiatry 5193956795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sky Foot and Ankle Institute IncGroup PAC ID 8921386665, 4 clinicians
SCL Health Medical Group-Butte LLCGroup PAC ID 2466633102, 109 clinicians

Practice addresses (Care Compare)

401 S Alabama St
Suite 10
Butte, MT 59701-2358
Phone (406) 782-2278

435 S Crystal St
Suite 300
Butte, MT 59701-1506
Phone (406) 496-3600

Hospital & facility affiliations

  • St James Hospital Hospital, Butte, MT, CCN 270017
  • Community Hospital of Anaconda Hospital, Anaconda, MT, CCN 271335
  • Barrett Hospital & Healthcare Hospital, Dillon, MT, CCN 271318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue361
Removal of skin lesions1-10
Removal of nail tissue36
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44408MTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sky Foot & Ankle Institute, Inc Foot & Ankle Surgery CurrentSince Sep 1, 2016 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Apr 1, 2022 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Apr 1, 2022 Accepting new patients
United Health Services Hospitals, Inc. Past Accepting new patients

Locations

1102 E Commercial Ave
Anaconda, MT 59711
Phone (406) 563-7282

401 S Alabama St
Ste 10
Butte, MT 59701
Phone (406) 782-2278

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

435 S Crystal St
Ste 300
Butte, MT 59701
Phone (406) 496-3600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14376/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 11

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1376986281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LEGACY DR",
            "city": "THREE FORKS",
            "state": "MT",
            "postal_code": "597529535",
            "telephone_number": "602-882-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MITCHELL AVE",
            "address_2": "SUITE 102",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031642",
            "telephone_number": "607-772-8772",
            "fax_number": "607-772-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "NATHAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "44408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.