NPIMap

Individual provider Active NPI

Claude Tonnerre, MD

  • Internal Medicine Physician
  • Missoula, MT
National Provider Identifier
1780879098
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11405 Issued in MT
Practice address
500 W Broadway St
Missoula, MT 59802-4008
Phone
(406) 327-1841
Fax
(406) 327-1834
NPI assigned
Sep 10, 2007
Reactivated
Jan 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 11405 MT
Internal Medicine Physician 207R00000X 11405 MT Primary

Addresses

Primary practice location

500 W Broadway St
Missoula, MT 59802-4008

Mailing address

500 W Broadway St
PO Box 4587
Missoula, MT 59802-4008
Phone (406) 327-1841

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ctonnerre99615@wm.providencedirect.org
Direct Messaging Address ctonnerre99615@wm.providencedirect.org

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
I20071031000006 MT Practitioner - Infectious DiseasePractitioner - Internal Medicine 2567559032 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

Missoula, MT 59802

Missoula, MT 59803

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 543-7271

902 N Orange St
Missoula, MT 59802-2928

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11405MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Mar 21, 2025 Accepting new patients
Providence Health & Services Mt Internal Medicine CurrentSince Oct 22, 2007 Accepting new patients
Providence Health & Services Mt CurrentSince Oct 22, 2007 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt Past Accepting new patients

Locations

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

902 N Orange St
Missoula, MT 59802
Phone (406) 327-3300

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

Organizations & group practices 7

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 10

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1780879098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "address_2": "PO BOX 4587",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-327-1841",
            "fax_number": "406-327-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-327-1841",
            "fax_number": "406-327-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONNERRE",
        "first_name": "CLAUDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MT",
            "license": "11405",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "11405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctonnerre99615@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "500 W Broadway St",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctonnerre99615@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "902 N Orange St",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598022928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.