NPIMap

Individual provider Active NPI

Roger Pafford, M.D.

  • Adult Medicine Physician
  • Anaconda, MT
National Provider Identifier
1497802797
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
20296 Issued in MT
Practice address
305 W Pennsylvania Ave
Anaconda, MT 59711-1900
Phone
(406) 563-8686
Fax
(406) 563-8691
NPI assigned
Jan 5, 2007
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 20296 MT Primary

Addresses

Primary practice location

305 W Pennsylvania Ave
Anaconda, MT 59711-1900

Mailing address

401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Phone (406) 563-8500

Other practice location 1

1208 6th Ave
Superior, MT 59872-9618
Phone (406) 224-3893

Other identifiers 3

IdentifierTypeStateIssuer
1497802797OtherMTNPI
0477018MedicaidIA
P00708635OtherIARR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130411000521 MT Practitioner - Family Practice 1355415977 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital of AnacondaGroup PAC ID 8123938974, shared by 5 NPIs, 45 clinicians

Practice addresses (Care Compare)

305 W Pennsylvania Ave
Anaconda, MT 59711-1900
Phone (406) 563-8686

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20296MTMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince Mar 2, 2019 Accepting new patients
Missoula Community Health Services, Inc CurrentSince Jan 1, 2019 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Missoula Community Health Services, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Community Hospital of Anaconda CurrentSince Mar 2, 2019 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Missoula Community Health Services, Inc Current Accepting new patients
Missoula Community Health Services, Inc. CurrentSince Jan 21, 2019 Accepting new patients
Iowa Physicians Clinic Medical Foundation Adult Medicine Past Accepting new patients
Mineral Regional Health Center, Inc. PastSince Dec 29, 2012 Accepting new patients
Community Hospital of Anaconda Past Accepting new patients

Locations

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

1208 6th Ave
Superior, MT 59872
Phone (406) 683-3401

Interoperability endpoints

  • Direct secure messaging: roger.pafford@pami.eclinicaldirectplus.com
  • Direct secure messaging: rpafford578322@wm.providencedirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Nursing Home of AnacondaAnaconda, MT, CCN 275065 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 12

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1497802797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111999",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111900",
            "telephone_number": "406-563-8686",
            "fax_number": "406-563-8691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "MT",
            "postal_code": "598729618",
            "country_code": "US",
            "telephone_number": "406-224-3893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAFFORD",
        "first_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MT",
            "license": "20296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497802797",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477018",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00708635",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.