Individual provider Active NPI

Alissa D Abentroth, MD

  • Surgery Physician
  • Helena, MT
National Provider Identifier
1689752255
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12802 Issued in MT
Practice address
2525 E Broadway St Ste 200
Helena, MT 59601-8049
Phone
(406) 457-4180
NPI assigned
Nov 1, 2006
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12802 MT Primary

Addresses

Primary practice location

2525 E Broadway St Ste 200
Helena, MT 59601-8049

Mailing address

2525 E Broadway St Ste 200
Helena, MT 59601-8049
Phone (406) 457-4180

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
I20120508000718 MT Practitioner - General Surgery 3577582709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

2525 E Broadway St
Suite 201
Helena, MT 59601-8049
Phone (406) 447-2828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12802MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health CurrentSince Aug 1, 2013 Accepting new patients
St. Peter's Health CurrentSince Aug 1, 2013 Accepting new patients
St Peter's Health Current Accepting new patients

Locations

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

2525 E Broadway St
Helena, MT 59601
Phone (406) 457-4343

2525 E Broadway St
Ste 200
Helena, MT 59601
Phone (406) 327-3924

2525 E Broadway St
Ste 201
Helena, MT 59601
Phone (406) 447-2828

Organizations & group practices 3

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 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1689752255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E BROADWAY ST STE 200",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018049",
            "telephone_number": "406-457-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E BROADWAY ST STE 200",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018049",
            "telephone_number": "406-457-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENTROTH",
        "first_name": "ALISSA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "12802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.