Active NPI
Elaine Susan Samuel, MD
- Internal Medicine Physician
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6340
- Practice address
- 935 Highland Blvd Ste 2200
Bozeman, MT 59715-6915 - Phone
- (406) 414-5700
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6340 | MT | Primary |
Addresses
Primary practice location
935 Highland Blvd Ste 2200
Bozeman, MT 59715-6915
Mailing address
935 Highland Blvd 2200
BH Family Medicine
Bozeman, MT 59715-6915
Phone (406) 414-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992813257 | Medicaid | MT |
Other names 1
- Elaine Spika
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Washington School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
206 Alaska Frontage Rd
Belgrade, MT 59714-7909
Phone (406) 414-3334
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
- Good Samaritan Regional Medical Center
- Samaritan Pacific Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 84.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6340 | MT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Corvallis Clinic P C | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Internal Medicine | Current | Accepting new patients |
| Billings Clinic | Internal Medicine | Past | Accepting new patients |
Locations
206 Alaska Frontage Rd
Belgrade, MT 59714
Phone (406) 414-3334
925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780
935 Highland Blvd
Ste 2200
Bozeman, MT 59715
Phone (406) 219-3311
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256
Interoperability endpoints
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
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.
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1619347390
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Corvallis, OR
- NPI 1649227265
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1013733955
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1104295864
-
- Endocrinology, Diabetes & Metabolism Physician
- Corvallis, OR
- NPI 1134552003
Hospital
-
- Obstetrics & Gynecology Physician
- Corvallis, OR
- NPI 1275882102
Hospital
-
- Infectious Disease Physician
- Corvallis, OR
- NPI 1407112642
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1992813257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 HIGHLAND BLVD 2200",
"address_2": "BH FAMILY MEDICINE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156915",
"telephone_number": "406-414-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 HIGHLAND BLVD STE 2200",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156915",
"telephone_number": "406-414-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "ELAINE",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "6340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992813257",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELAINE",
"last_name": "SPIKA",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.