Individual provider Active NPI

Timothy B Grossman, MD

  • Urology Physician
  • Helena, MT
National Provider Identifier
1770584757
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9578 Issued in MT
Practice address
2550 E Broadway St
Helena, MT 59601-4905
Phone
(406) 457-4180
NPI assigned
Aug 2, 2005
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9578 MT Primary

Addresses

Primary practice location

2550 E Broadway St
Helena, MT 59601-4905

Mailing address

PO Box 6369
Helena, MT 59604-6369
Phone (406) 447-2823

Other identifiers 1

IdentifierTypeStateIssuer
000028322MedicaidMT

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
I20091222000568 MT Practitioner - Urology 4981776036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Nevada School of Medicine, 1995
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)

2475 Broadway
Helena, MT 59601-4928

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 457-4180

2550 E Broadway St
Helena, MT 59601-4905
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9578MTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health CurrentSince Dec 1, 2009 Accepting new patients
St Peter's Health Current Accepting new patients
St. Peter's Health CurrentSince Dec 1, 2009 Accepting new patients
Great Falls Clinic LLC CurrentSince Sep 1, 2026 Accepting new patients

Locations

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

2231 N Montana Ave
Helena, MT 59601
Phone (406) 389-8008

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

2525 E Broadway St
Ste 105
Helena, MT 59601
Phone (406) 457-4160

2550 E Broadway St
Helena, MT 59601
Phone (406) 495-6805

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1770584757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6369",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596046369",
            "telephone_number": "406-447-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014905",
            "telephone_number": "406-457-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MT",
            "license": "9578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000028322",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.