NPIMap

Individual provider Active NPI

Kleanthis G Dendrinos, M.D.

  • Gastroenterology Physician
  • Bozeman, MT
National Provider Identifier
1861528457
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MED-PHYS-LIC-58486 Issued in MT
Practice address
875 S Cottonwood Rd Ste 200
Bozeman, MT 59718-4208
Phone
(406) 414-5336
Fax
(406) 414-5337
NPI assigned
Feb 26, 2007
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 220124 MA
Gastroenterology Physician 207RG0100X 7943A WY
Gastroenterology Physician 207RG0100X MED-PHYS-LIC-58486 MT Primary

Addresses

Primary practice location

875 S Cottonwood Rd Ste 200
Bozeman, MT 59718-4208

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other practice location 1

931 Highland Blvd Ste 3350
Bozeman, MT 59715-6914
Phone (406) 414-5336

Other identifiers 1

IdentifierTypeStateIssuer
1861528457MedicaidWY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdendrinos10235570@direct.sanfordhealth.org Direct Bozeman Health Deaconess Hospital

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
I20170915003174 MT Practitioner - Gastroenterology 5294712709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

931 Highland Blvd
Suite 3350
Bozeman, MT 59715-6914
Phone (406) 414-5336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
72.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy142
Upper gastrointestinal (GI) endoscopy for acid reflux178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220124MAMDInternal Medicine Physician
MED-PHYS-LIC-58486MTMDGastroenterology Physician
7943AWYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Sep 5, 2017 Accepting new patients
Belgrade Clinic PLLP Family Medicine Current Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Jul 7, 2018 Accepting new patients
Bozeman Health Deaconess Hospital Family Medicine CurrentSince Sep 5, 2017 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC Family Medicine CurrentSince Jul 7, 2018 Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Rehabilitation Medical Associates, P.C. Internal Medicine PastSince May 26, 2024 Accepting new patients
Jordan Physician Associates, Inc. Family Medicine Past Accepting new patients

Locations

875 S Cottonwood Rd
Ste 200
Bozeman, MT 59718
Phone (406) 414-5336

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3350
Bozeman, MT 59715
Phone (406) 414-5331

Interoperability endpoints

  • Direct secure messaging: kdendrinos10235570@direct.sanfordhealth.org

Organizations & group practices 8

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 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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1861528457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S COTTONWOOD RD STE 200",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184208",
            "telephone_number": "406-414-5336",
            "fax_number": "406-414-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 Highland Blvd Ste 3350",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156914",
            "country_code": "US",
            "telephone_number": "406-414-5336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENDRINOS",
        "first_name": "KLEANTHIS",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "220124",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WY",
            "license": "7943A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MT",
            "license": "MED-PHYS-LIC-58486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861528457",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdendrinos10235570@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Deaconess Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "875 S Cottonwood Rd Ste 200",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597184208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.