Nicholas Alexander Anzalone, MD
Individual provider Active NPI Internal Medicine Physician · Salt Lake City, UT
NPI 1982192019 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1982192019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MED-PHYS-LIC-100931 (MT)
- Practice address
- 30 N 1900 E RM 4C116
Salt Lake City, UT 84132-0002 - Phone
- (801) 581-7606
- NPI assigned
- Apr 24, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Temple University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cogent Healthcare of Montana P C
SCL Health Medical Group - Billings LLC
Practice addresses (Care Compare)
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-4690
1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 657-7000
Hospital & facility affiliations
- Intermountain Health St Vincent Regional Hospital
- Sidney Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210923001475 | MT | Practitioner - Internal Medicine | 5890128128 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-100931 | MT | MD | Internal Medicine Physician |
| 11405369-1205 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Montana | Current | Accepting new patients | |
| Cogent Healthcare of Montana P C | Internal Medicine | Current |
Accepting new patients |
| SCL Health Medical Group - Billings LLC | Current |
Accepting new patients | |
| SCL Health Montana | Current |
Accepting new patients | |
| SCL Health Montana | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Montana - TCS PC | Internal Medicine | Current |
Accepting new patients |
| SCL Health Medical Group - Billings, LLC | Current |
Accepting new patients | |
| St. Vincent Healthcare | Past | Accepting new patients |
Locations
2900 12th Ave N
Ste 140W
Billings, MT 59101
Phone (406) 237-5050
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
1233 N 30th St
#3
Billings, MT 59101
Phone (406) 237-3850
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MED-PHYS-LIC-100931 | MT | Yes |
| Internal Medicine Physician | 207R00000X | 11405369-1205 | UT |
Addresses
Primary practice location
30 N 1900 E RM 4C116
Salt Lake City, UT 84132-0002
Mailing address
1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3850
Other providers in Salt Lake City, UT
- Anisha Antony
- Michelle Anumba
- Shumaila Anwer
- Walter R Anyan
- Yoshimi Anzai
- Alan N Aoki
- Joni Aoki
- Stephen Kenji Aoki
- Lillian Aonghus Aceves
- Erica Aper
All providers in Salt Lake City, UT · Internal Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.