Individual provider Active NPI

Elijah Sutherin

  • Physician Assistant
  • Billings, MT
National Provider Identifier
1528846904
Registry record updated Sep 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3229 Rosebud Dr Apt 6
Billings, MT 59102-6016
Phone
(208) 206-8756
NPI assigned
Sep 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3229 Rosebud Dr Apt 6
Billings, MT 59102-6016

Mailing address

3229 Rosebud Dr Apt 6
Billings, MT 59102-6016
Phone (208) 206-8756

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107000502 MT Practitioner - Physician Assistant 0547617938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SCL Health MontanaGroup PAC ID 3476457714, 38 clinicians

Practice addresses (Care Compare)

1041 N 29TH St
Billings, MT 59101-0731
Phone (303) 237-5577

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Oct 25, 2023 Accepting new patients
SCL Health Montana CurrentSince Oct 25, 2023 Accepting new patients
SCL Health Montana CurrentSince Oct 25, 2023 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Oct 25, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
St. Vincent Healthcare Past Accepting new patients

Locations

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 7

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 3

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695513600000",
    "number": "1528846904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 ROSEBUD DR APT 6",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026016",
            "telephone_number": "208-206-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 ROSEBUD DR APT 6",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026016",
            "telephone_number": "208-206-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERIN",
        "first_name": "ELIJAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.