Individual provider Active NPI

Homan Miraliakbari, M.D.

  • Anatomic Pathology Physician
  • Plentywood, MT
National Provider Identifier
1962388173
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
117943 Issued in MT
Practice address
204 Main Street North
Plentywood, MT 59254
Phone
(306) 502-9315
NPI assigned
Aug 13, 2025
Reactivated
Aug 21, 2026
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 117943 MT Primary

Addresses

Primary practice location

204 Main Street North
Plentywood, MT 59254

Mailing address

12111 51 Ave NW
Suite Number 210
Edmonton, ALBERTA T6H 6A3
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117943MTMDAnatomic Pathology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1962388173",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "12111 51 AVE NW",
            "address_2": "SUITE NUMBER 210",
            "city": "EDMONTON",
            "state": "ALBERTA",
            "postal_code": "T6H 6A3"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MAIN STREET NORTH",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "59254",
            "telephone_number": "306-502-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRALIAKBARI",
        "first_name": "HOMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "deactivation_date": "2026-03-25",
        "reactivation_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MT",
            "license": "117943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plentywood, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.