Individual provider Active NPI

Cindy W Tom, MD

  • Interventional Cardiology Physician
  • Billings, MT
National Provider Identifier
1811104433
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
9698871-1205 Issued in UT
Practice address
2900 12TH Ave N Ste 204E
Billings, MT 59101-7502
Phone
(406) 237-5001
Fax
(406) 237-5010
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MN46128 MN
Cardiovascular Disease Physician 207RC0000X 9698871-1205 UT
Interventional Cardiology Physician 207RI0011X 9698871-1205 UT Primary

Addresses

Primary practice location

2900 12TH Ave N Ste 204E
Billings, MT 59101-7502

Mailing address

1300 N 500 E
Ste 320
Logan, UT 84341-2462
Phone (406) 237-5001

Other identifiers 1

IdentifierTypeStateIssuer
46128OtherMNMN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cindy.tom@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20160309001780 UT Practitioner - Cardiovascular Disease (Cardiology) 6608780440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of California, Irvine, California College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1300 N 500
Suite 320
Logan, UT 84341-2462
Phone (435) 716-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MN46128MNMDInternal Medicine Physician
9698871-1205UTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Internal Medicine Current Accepting new patients
Ihc Health Services Inc CurrentSince Apr 1, 2016 Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Oct 20, 2018 Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1300 N 500 E
Ste 320
North Logan, UT 84341
Phone (435) 716-2200

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

905 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4500

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 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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1811104433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 500 E",
            "address_2": "STE 320",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412462",
            "telephone_number": "406-237-5001",
            "fax_number": "406-237-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 204E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017502",
            "telephone_number": "406-237-5001",
            "fax_number": "406-237-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "CINDY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "MN46128",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "9698871-1205",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "9698871-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN LICENSE",
            "identifier": "46128",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cindy.tom@direct.imail.org",
            "affiliation": "N",
            "address_1": "1300 N 500 E Ste 320",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843412462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.