Individual provider Active NPI

Thomas David Mulgrew, MD

  • Neurology Physician
  • Helena, MT
National Provider Identifier
1457452070
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
10628 Issued in MT
Practice address
2525 Broadway
Suite 200
Helena, MT 59601
Phone
(406) 457-4343
Fax
(406) 457-4344
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 10628 MT Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 10628 MT

Addresses

Primary practice location

2525 Broadway
Suite 200
Helena, MT 59601

Mailing address

P.O. Box 6369
Helena, MT 59604
Phone (406) 447-2823

Other identifiers 2

IdentifierTypeStateIssuer
98095OtherMTBCBS OF MT
0142494MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040914001129 MT Practitioner - NeurologyPractitioner - Pain ManagementPractitioner - Sleep Medicine 4486553724 Reassigns benefits to 1 organization
I20171121001525 AK Practitioner - Neurology 4486553724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Minnesota Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alaska Neurology Center LLCGroup PAC ID 2163512328, 7 clinicians

Practice addresses (Care Compare)

1100 E Dimond Blvd
Anchorage, AK 99515-2010
Phone (907) 565-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
69.59
Promoting interoperability
99
Improvement activities
40
Cost
75.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10628MTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Neurology CurrentSince Jun 1, 2005 Accepting new patients
St Peter'S Health Current Accepting new patients
St. Peter'S Health CurrentSince Jun 1, 2005 Accepting new patients
Alaska Neurology Center LLC Neurology CurrentSince Nov 7, 2017 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1100 E Dimond Blvd
Anchorage, AK 99515
Phone (907) 565-6000

820 N Montana Ave
Helena, MT 59601
Phone (406) 442-0120

121 N Last Chance Gulch
Ste B
Helena, MT 59601

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

2525 E Broadway St
Ste 105
Helena, MT 59601
Phone (406) 457-4160

121 N Last Chance Gulch
Helena, MT 59601
Phone (406) 442-0282

2525 E Broadway St
Ste 202
Helena, MT 59601
Phone (406) 457-4343

121 N Last Chance Gulch
Ste G2
Helena, MT 59601
Phone (406) 422-4127

2525 E Broadway St
Ste 200
Helena, MT 59601
Phone (406) 327-3924

121 N Last Chance Gulch
#G2
Helena, MT 59601

Interoperability endpoints

  • Direct secure messaging: tmulgrew236177@ak.providencedirect.org

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.

Hospital & facility affiliations 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1457452070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6369",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59604",
            "telephone_number": "406-447-2823",
            "fax_number": "406-447-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 BROADWAY",
            "address_2": "SUITE 200",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59601",
            "telephone_number": "406-457-4343",
            "fax_number": "406-457-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULGREW",
        "first_name": "THOMAS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "10628",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MT",
            "license": "10628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MT",
            "identifier": "98095",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142494",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.