NPIMap

Individual provider Active NPI

Anthony Robert Stark, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Des Moines, IA
National Provider Identifier
1598909376
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4400 Issued in IA
Practice address
450 Laurel St
Suite a
Des Moines, IA 50314-3045
Phone
(515) 247-8400
Fax
(515) 248-8888
NPI assigned
Apr 24, 2009
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4400 IA Primary

Addresses

Primary practice location

450 Laurel St
Suite a
Des Moines, IA 50314-3045

Mailing address

450 Laurel St
Suite a
Des Moines, IA 50314-3045
Phone (515) 247-8400

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
I20160531002375 MT Practitioner - Physical Medicine and Rehabilitation 4981846797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montana Advanced Pain and Spine PLLCGroup PAC ID 1850745621, 4 clinicians

Practice addresses (Care Compare)

1819 S 22ND Ave
Suite 100
Bozeman, MT 59718-7070
Phone (406) 426-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.24 of 100Reported as group
Quality
79.17
Improvement activities
40
Cost
55.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Orthopedics & Sports Medicine CurrentSince Jun 8, 2016 Accepting new patients
Montana Advanced Pain and Spine PLLC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2023 Accepting new patients
Granite Peak Anesthesiology Consultants CurrentSince Jul 15, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1819 S 22nd Ave
Ste 100
Bozeman, MT 59718
Phone (406) 426-3200

536 S Cottonwood Rd
Ste 10
Bozeman, MT 59718
Phone (406) 586-8029

536 S Cottonwood Rd
Ste 100
Bozeman, MT 59718
Phone (406) 586-8029

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

Organizations & group practices 4

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1598909376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST",
            "address_2": "SUITE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST",
            "address_2": "SUITE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "ANTHONY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "4400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.