Individual provider Active NPI

Paul D Gochis, MD

  • Family Medicine Physician
  • Polson, MT
National Provider Identifier
1932273927
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9622 Issued in MT
Practice address
107 Ridgewater Dr
Polson, MT 59860-8977
Phone
(406) 883-3737
Fax
(406) 883-2669
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9622 MT Primary

Addresses

Primary practice location

107 Ridgewater Dr
Polson, MT 59860-8977

Mailing address

107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 883-3737

Other identifiers 1

IdentifierTypeStateIssuer
0000027421MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031209000929 MT Practitioner - Family Practice 3072419225 Reassigns benefits to 1 organization
I20201202002436 CA Practitioner - Family Practice 3072419225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Community Hospital CurrentSince Dec 9, 2017 Accepting new patients
St Lukes Community Hospital CurrentSince Dec 9, 2017 Accepting new patients
St. Lukes Community Hospital Family Medicine Current Accepting new patients
Desert Medical Group, Inc. Family Medicine CurrentSince Sep 8, 2020 Accepting new patients

Locations

81880 Doctor Carreon Blvd
Ste C108
Indio, CA 92201
Phone (760) 775-9641

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

275 N El Cielo Rd
Ste D402
Palm Springs, CA 92262
Phone (310) 650-6729

275 N El Cielo Rd
Ste D414
Palm Springs, CA 92262
Phone (760) 969-5265

57840 29 Palms Hwy
Ste A
Yucca Valley, CA 92284
Phone (760) 323-8657

104 Rufus Ln
Polson, MT 59860
Phone (406) 543-8512

126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

Interoperability endpoints

  • Direct secure messaging: paul.gochis.p2@direct.mydohc.nextgenshare.com
  • Direct secure messaging: paul.gochis.p5@direct.mydohc.nextgenshare.com

Organizations & group practices 4

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1932273927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642634",
            "telephone_number": "406-883-3737",
            "fax_number": "406-883-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIDGEWATER DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598608977",
            "telephone_number": "406-883-3737",
            "fax_number": "406-883-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCHIS",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "9622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000027421",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

Verify at the official NPI Registry.