Individual provider Active NPI

Brian D Komm, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Butte, MT
National Provider Identifier
1831140532
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
147 Issued in MT
Practice address
3215 Ottawa St
Butte, MT 59701-6539
Phone
(406) 723-7990
Fax
(406) 723-0080
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 147 MT Primary
Foot Surgery Podiatrist 213ES0131X 147 MT

Addresses

Primary practice location

3215 Ottawa St
Butte, MT 59701-6539

Mailing address

3215 Ottawa St
Butte, MT 59701-6539
Phone (406) 723-7990

Other identifiers 3

IdentifierTypeStateIssuer
0000390558MedicaidMT
1417132820OtherMTGROUP NPI
018841OtherMTBCBS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000284 MT Practitioner - Podiatry 3971595471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3215 Ottawa St
Butte, MT 59701-6539
Phone (406) 723-7990

Merit-based Incentive Payment System (MIPS)

Final score
61.99 of 100Reported as group
Quality
15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue415
Removal of skin lesions1-10
Removal of nail tissue605
Removal or shaving of skin growth375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Komm DPM PC Primary Podiatric Medicine CurrentSince Jan 1, 2002 Accepting new patients

Locations

3215 Ottawa St
Butte, MT 59701
Phone (406) 723-7990

2012 Farragut Ave
Butte, MT 59701
Phone (406) 723-7990

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1831140532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 OTTAWA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016539",
            "telephone_number": "406-723-7990",
            "fax_number": "406-723-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 OTTAWA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016539",
            "telephone_number": "406-723-7990",
            "fax_number": "406-723-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMM",
        "first_name": "BRIAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MT",
            "license": "147",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MT",
            "license": "147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000390558",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1417132820",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "018841",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.