NPIMap

Individual provider Active NPI

Nicholas Alexander Anzalone, MD

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1982192019
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MED-PHYS-LIC-100931 Issued in MT
Practice address
30 N 1900 E RM 4C116
Salt Lake City, UT 84132-0002
Phone
(801) 581-7606
NPI assigned
Apr 24, 2018
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MED-PHYS-LIC-100931 MT Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923001475 MT Practitioner - Internal Medicine 5890128128 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
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 CGroup PAC ID 4486712833, 82 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-100931MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Sep 7, 2021 Accepting new patients
Cogent Healthcare of Montana P C Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
SCL Health Montana Current Accepting new patients
SCL Health Montana CurrentSince Sep 7, 2021 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Sep 7, 2021 Accepting new patients
Hospitalist Medicine Physicians of Montana - TCS PC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
SCL Health Montana CurrentSince Sep 7, 2021 Accepting new patients
St. Vincent Healthcare Past Accepting new patients

Locations

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

Organizations & group practices 8

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 3

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1982192019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N 30TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010127",
            "telephone_number": "406-237-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 4C116",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZALONE",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-100931",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "11405369-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.