Individual provider Active NPI

Kellee Rose Glaus, MD

  • Family Medicine Physician
  • Butte, MT
National Provider Identifier
1942863246
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MED-PHYS-LIC-108810 Issued in MT
Practice address
3636 Harrison Ave
Butte, MT 59701-3571
Phone
(406) 496-3600
Fax
(406) 206-1971
NPI assigned
Apr 22, 2019
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT
Family Medicine Physician 207Q00000X MED-PHYS-LIC-108810 MT Primary

Addresses

Primary practice location

3636 Harrison Ave
Butte, MT 59701-3571

Mailing address

3636 Harrison Ave
Butte, MT 59701-3571
Phone (406) 496-3600

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
I20220718000465 MT Practitioner - Family Practice 4688902216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

435 S Crystal St
Suite 300
Butte, MT 59701-1506
Phone (406) 496-3600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-108810MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group-Butte LLC Family Medicine CurrentSince Aug 31, 2022 Accepting new patients
SCL Health Medical Group-Butte LLC Family Medicine CurrentSince Aug 31, 2022 Accepting new patients

Locations

3636 Harrison Ave
Butte, MT 59701
Phone (385) 216-5963

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

435 S Crystal St
Ste 300
Butte, MT 59701
Phone (406) 496-3600

Organizations & group practices 2

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 4

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1942863246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013571",
            "telephone_number": "406-496-3600",
            "fax_number": "406-206-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013571",
            "telephone_number": "406-496-3600",
            "fax_number": "406-206-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUS",
        "first_name": "KELLEE",
        "middle_name": "ROSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MT",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-108810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.