NPIMap

Individual provider Active NPI

Shannan Patterson, M.D.

  • Hospitalist Physician
  • Tucson, AZ
National Provider Identifier
1730507740
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0065398 Issued in CO
Practice address
3870 W River Rd Ste 126
Tucson, AZ 85741-3080
Phone
(520) 219-6616
Fax
(520) 742-6187
NPI assigned
Apr 7, 2014
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1730507740 MT
Hospitalist Physician 208M00000X DR.0065398 CO Primary

Addresses

Primary practice location

3870 W River Rd Ste 126
Tucson, AZ 85741-3080

Mailing address

3870 W River Rd Ste 126
Tucson, AZ 85741-3080
Phone (520) 219-6616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephen.hanna.1@1576.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201109000943 CO Practitioner - Hospitalist 5698049831
I20210811000760 MT Practitioner - Internal Medicine 5698049831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2475 Village LN
Suite 302
Billings, MT 59102-2497

526 Parkhill Dr
Billings, MT 59102-3620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1730507740MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Nov 2, 2020 Accepting new patients
Advanced Care Hospital of Montana Inc CurrentSince Nov 1, 2023 Accepting new patients
Impact Physician Group, Montana LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Advanced Care Hospital of Montana Inc CurrentSince Nov 1, 2023 Accepting new patients
Vibra Physicians LLC Hospitalist CurrentSince Apr 25, 2022 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Sentinel Mental Health Inc CurrentSince Jan 9, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 2, 2020 Accepting new patients
Advanced Care Hospital of Montana Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

1645 Avenue D
Ste C
Billings, MT 59102
Phone (406) 272-2511

3528 Gabel Rd
Billings, MT 59102
Phone (406) 373-8000

3572 Hesper Rd
Billings, MT 59102
Phone (406) 413-6200

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

1024 N Galloway Ave
Ste 101
Mesquite, TX 75149

Organizations & group practices 10

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1730507740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 W RIVER RD STE 126",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413080",
            "telephone_number": "520-219-6616",
            "fax_number": "520-742-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 W RIVER RD STE 126",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413080",
            "telephone_number": "520-219-6616",
            "fax_number": "520-742-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SHANNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "1730507740",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0065398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.hanna.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3870 W River Rd Ste 126",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.