Individual provider Active NPI

Randy R. Sibbitt, M.D.

  • Vascular & Interventional Radiology Physician
  • Helena, MT
National Provider Identifier
1679682413
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
7630 Issued in MT
Practice address
25 Medical Park Dr
Helena, MT 59601-4949
Phone
(406) 442-7227
Fax
(406) 442-1450
NPI assigned
Aug 29, 2006
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1679682413 MT
Diagnostic Radiology Physician 2085R0202X 7630 MT
Vascular & Interventional Radiology Physician 2085R0204X 7630 MT Primary

Addresses

Primary practice location

25 Medical Park Dr
Helena, MT 59601-4949

Mailing address

25 Medical Park Dr
Helena, MT 59601-4949
Phone (406) 442-7227

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031122000110 MT Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2365346129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1679682413MTMDDiagnostic Radiology Physician
7630MTMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince Nov 1, 2021 Accepting new patients
Helena Imaging, LLC Past Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

25 Medical Park Dr
Helena, MT 59601
Phone (406) 443-1556

3510 Ptarmigan Ln
Helena, MT 59602
Phone (406) 449-3750

45 Medical Park Dr
Helena, MT 59601
Phone (406) 442-1914

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1679682413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MEDICAL PARK DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014949",
            "telephone_number": "406-442-7227",
            "fax_number": "406-442-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MEDICAL PARK DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014949",
            "telephone_number": "406-442-7227",
            "fax_number": "406-442-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBBITT",
        "first_name": "RANDY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "1679682413",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "7630",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "7630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.