Individual provider Active NPI

Alan J Loendorf, DPM

  • Podiatrist
  • Miles City, MT
National Provider Identifier
1912059106
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
130 Issued in MT
Practice address
2000 Clark St
Miles City, MT 59301
Phone
(406) 232-3456
Fax
(406) 232-3538
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 130 MT Primary

Addresses

Primary practice location

2000 Clark St
Miles City, MT 59301

Mailing address

PO Box 607
Miles City, MT 59301-0607
Phone (406) 232-3456

Other identifiers 2

IdentifierTypeStateIssuer
0000390201MedicaidMT
480022463OtherRR MEDICARE

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
I20120110000534 MT Practitioner - Podiatry 5597931741 Practice locations: Miles City, MT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Clark St
Miles City, MT 59301-2726
Phone (406) 232-3456

PO Box
Suite 607
Miles City, MT 59301-0607

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue234
Removal or shaving of skin growth71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
130MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1912059106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593010607",
            "telephone_number": "406-232-3456",
            "fax_number": "406-232-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CLARK ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "59301",
            "telephone_number": "406-232-3456",
            "fax_number": "406-232-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOENDORF",
        "first_name": "ALAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MT",
            "license": "130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000390201",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480022463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.