Active NPI
Kathleen M Diller, MD
- Anesthesiology Physician
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 59892
- Practice address
- 1101 26TH St S
Great Falls, MT 59405-5161 - Phone
- (406) 731-8888
- Fax
- (406) 731-8888
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 59892 | MT | Primary |
Addresses
Primary practice location
1101 26TH St S
Great Falls, MT 59405-5161
Mailing address
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 731-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300436 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical University of South Carolina College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Longwood Ave
Rockledge, FL 32955-2828
Phone (321) 636-2211
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
Hospital & facility affiliations
- Orlando Health Melbourne Hospital
- Benefis Hospitals Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.99 of 100
- Quality
- 62.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59892 | MT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| North Tampa Anesthesia Consultants | Anesthesiology | Current | Accepting new patients |
| Central Brevard Anesthesiologists, PA | Anesthesiology | Current | Accepting new patients |
| Mobile Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
Locations
2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776
8240 Devereux Dr
Ste 100
Melbourne, FL 32940
Phone (317) 805-4102
220 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 452-9799
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Rockledge, FL
- NPI 1205875671
Anesthesiology, FL
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1144216433
Anesthesiology, FL
Hospital & facility affiliations 4
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": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1407053697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 26TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055161",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 26TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055161",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLER",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MT",
"license": "59892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300436",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.