Individual provider Active NPI

Kathryn Louise Ponto, M.D.

  • Gynecology Physician
  • Helena, MT
National Provider Identifier
1902852536
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MED-PHYS-LIC-103374 Issued in MT
Practice address
1500 Cannon St
Helena, MT 59601-2099
Phone
(406) 422-1236
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00025961 WA
Gynecology Physician 207VG0400X MED-PHYS-LIC-103374 MT Primary

Addresses

Primary practice location

1500 Cannon St
Helena, MT 59601-2099

Mailing address

4202 Edgewater Way
Stevensville, MT 59870-6466
Phone (206) 669-0925

Other practice location 1

13030 121st Way NE
Suite 202
Kirkland, WA 98034-3008
Phone (425) 821-2020

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
I20101216001131 MT Practitioner - Obstetrics/Gynecology 9133284656 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00025961WAMDSpecialist
MED-PHYS-LIC-103374MTMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Planned Parenthood Inc CurrentSince Dec 13, 2021 Accepting new patients

Locations

1844 Broadwater Ave
Ste 4
Billings, MT 59102
Phone (406) 656-9980

1116 Grand Ave
Ste 201
Billings, MT 59102

1643 Lewis Ave
Ste 211
Billings, MT 59102

1500 Cannon St
Helena, MT 59601
Phone (406) 248-3637

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1902852536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 EDGEWATER WAY",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706466",
            "telephone_number": "206-669-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CANNON ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012099",
            "telephone_number": "406-422-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13030 121st Way NE",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343008",
            "country_code": "US",
            "telephone_number": "425-821-2020",
            "fax_number": "425-823-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONTO",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00025961",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MT",
            "license": "MED-PHYS-LIC-103374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.