William L. Tonidandel, MD
Individual provider Active NPI Anesthesiology Physician · Helena, MT
NPI 1497771190 · NPPES record last updated Sep 27, 2007
Key facts
- NPI
- 1497771190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 10314 (MT)
- Practice address
- 2475 E Broadway St
Helena, MT 59601-4928 - Phone
- (406) 442-2480
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Vanderbilt University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Peters Health
Practice addresses (Care Compare)
2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 447-2828
Hospital & facility affiliations
- St Peters Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.75 of 100
- Quality
- 71.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.84
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223000938 | MT | Practitioner - Anesthesiology | 8123913365 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10314 | MT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Peter'S Medical Group North | Current |
Accepting new patients | |
| St. Peter'S Health | Current |
Accepting new patients | |
| St Peter'S Health | Current | Accepting new patients |
Locations
1 Medical Park Dr
Helena, MT 59601
Phone (406) 443-1556
2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 10314 | MT | Yes |
| Interventional Pain Medicine Physician | 208VP0014X | 10314 | MT |
Addresses
Primary practice location
2475 E Broadway St
Helena, MT 59601-4928
Mailing address
PO Box 24102
Seattle, WA 98124-0102
Phone (503) 372-2740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060826 | Medicaid | MT |
Other providers in Helena, MT
- Travis Patrick Timmerman
- Abigail Todd
- Katherine Jane Todd
- Nicole L Todorovich
- Terry L Tollakson
- Kailey Torgerson
- Tyler Torkelson
- Beverly Joy Townsend
- Keith Leslie Trafton
- Patricia U Trafton
All providers in Helena, MT · Anesthesiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.