NPIMap

Individual provider Active NPI

Morgan Samuel Kellogg, MD

  • Cardiovascular Disease Physician
  • Missoula, MT
National Provider Identifier
1730522079
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD20933 Issued in ME
Practice address
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone
(406) 728-4100
NPI assigned
Apr 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD20933 ME
Cardiovascular Disease Physician 207RC0000X 81061 MT
Cardiovascular Disease Physician 207RC0000X MD20933 ME Primary
Cardiovascular Disease Physician 207RC0000X 279298 MA
Interventional Cardiology Physician 207RI0011X 279298 MA
Interventional Cardiology Physician 207RI0011X 81061 MT

Addresses

Primary practice location

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Mailing address

2827 Fort Missoula Rd BLDG 5
Missoula, MT 59804-7408
Phone (406) 327-4646

Other practice location 1

26 6th Ave SW
Ronan, MT 59864-2631
Phone (406) 676-3600

Other practice location 2

1208 6th Ave
Superior, MT 59872-9667
Phone (406) 822-4841

Other practice location 3

107 Ridgewater Dr
Polson, MT 59860-8977
Phone (406) 883-3737

Other practice location 4

801 N 29th St
Billings, MT 59101-0905
Phone (406) 238-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkellogg@billingsclinic.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, 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
I20190813002673 MA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022303783 Reassigns benefits to 1 organization
I20200709001278 MT Practitioner - Cardiovascular Disease (Cardiology) 8022303783 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-4646

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81061MTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC Current Accepting new patients
Missoula Community Health Services, Inc. CurrentSince Apr 23, 2022 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Billings Clinic Internal Medicine CurrentSince Aug 31, 2020 Accepting new patients
Missoula Community Health Services, Inc. CurrentSince Oct 13, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Missoula Community Health Services, Inc Current Accepting new patients
Billings Clinic CurrentSince Aug 31, 2020 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Aug 1, 2020 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jul 24, 2022 Accepting new patients
Missoula Community Health Services, Inc CurrentSince Apr 23, 2022 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Billings Clinic Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

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

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

2827 Fort Missoula Rd
Bldg 5
Missoula, MT 59804
Phone (406) 327-4646

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

1208 6th Ave
Superior, MT 59872
Phone (406) 683-3401

Interoperability endpoints

  • Direct secure messaging: mkellogg1@direct.communitymed.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1730522079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD BLDG 5",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-327-4646",
            "fax_number": "406-327-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-728-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Ronan",
            "state": "MT",
            "postal_code": "598642631",
            "country_code": "US",
            "telephone_number": "406-676-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1208 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "MT",
            "postal_code": "598729667",
            "country_code": "US",
            "telephone_number": "406-822-4841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Ridgewater Dr",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598608977",
            "country_code": "US",
            "telephone_number": "406-883-3737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010905",
            "country_code": "US",
            "telephone_number": "406-238-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "MORGAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD20933",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "81061",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD20933",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "279298",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "279298",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MT",
            "license": "81061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkellogg@billingsclinic.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 N 29th St",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591010905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.