Individual provider Active NPI

Brian Schenavar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Missoula, MT
National Provider Identifier
1396191516
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MED-POD-LIC-81580 Issued in MT
Practice address
2825 Stockyard Rd Ste J1
Missoula, MT 59808-1548
Phone
(406) 543-5333
NPI assigned
May 5, 2016
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 MED-POD-LIC-81580 MT Primary

Addresses

Primary practice location

2825 Stockyard Rd Ste J1
Missoula, MT 59808-1548

Mailing address

2825 Stockyard Rd Ste J1
Missoula, MT 59808-1548
Phone (406) 543-5333

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
I20200518002667 MT Practitioner - Podiatry 4789015199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Montana Foot and Ankle PLLCGroup PAC ID 6002176302, 3 clinicians

Practice addresses (Care Compare)

2825 Stockyard Rd
Suite J1
Missoula, MT 59808-1548
Phone (406) 543-5333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue174
Removal of skin lesions1-10
Removal of nail tissue559
Removal or shaving of skin growth131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MED-POD-LIC-81580MTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Montana Foot and Ankle PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients

Locations

2825 Stockyard Rd
Ste J1
Missoula, MT 59808
Phone (406) 543-5333

Interoperability endpoints

  • Direct secure messaging: bschenavar@wmfaap-mt.direct.office.nextgen.com

Organizations & group practices 1

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 6

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1396191516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 STOCKYARD RD STE J1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081548",
            "telephone_number": "406-543-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 STOCKYARD RD STE J1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081548",
            "telephone_number": "406-543-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENAVAR",
        "first_name": "BRIAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "MED-POD-LIC-81580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.