NPIMap

Individual provider Active NPI

Jesse A Cole, MD

  • Diagnostic Radiology Physician
  • Butte, MT
National Provider Identifier
1770520173
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8011 Issued in MT
Practice address
401 S Alabama St Ste 6B
Butte, MT 59701-2358
Phone
(406) 723-2132
Fax
(406) 723-6144
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MT8011 MT
Vascular & Interventional Radiology Physician 2085R0204X MT8011 MT
Diagnostic Radiology Physician 2085R0202X 8011 MT Primary

Addresses

Primary practice location

401 S Alabama St Ste 6B
Butte, MT 59701-2358

Mailing address

401 S Alabama St Ste 6B
Butte, MT 59701-2358
Phone (406) 723-2132

Other identifiers 1

IdentifierTypeStateIssuer
0022074MedicaidMT

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
I20050511000701 MT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2264472455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Creighton University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 S Alabama St
Suite 6B
Butte, MT 59701-2358
Phone (406) 723-2132

Hospital & facility affiliations

  • Community Hospital of Anaconda Hospital, Anaconda, MT, CCN 271335
  • St James Hospital Hospital, Butte, MT, CCN 270017
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Granite County Medical Center Hospital, Philipsburg, MT, CCN 271303
  • Deer Lodge Medical Center Hospital, Deer Lodge, MT, CCN 271314

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8011MTMDDiagnostic Radiology Physician
MT8011MTMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ray Scan Inc. Diagnostic Radiology CurrentSince Dec 30, 1996 Accepting new patients
Big Sky Diagnostic Imaging, LLC CurrentSince Nov 28, 2005 Accepting new patients
Bayway Medical Clinic Inc PastSince May 5, 2008 Accepting new patients

Locations

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

820 W Platinum St
Butte, MT 59701
Phone (406) 723-3279

401 S Alabama St
Ste 6B
Butte, MT 59701
Phone (406) 723-2132

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 and National Provider Directory roles.

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1770520173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST STE 6B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012358",
            "telephone_number": "406-723-2132",
            "fax_number": "406-723-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST STE 6B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012358",
            "telephone_number": "406-723-2132",
            "fax_number": "406-723-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JESSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MT",
            "license": "MT8011",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "MT8011",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "8011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022074",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.