DR. THOMAS JAMES HERIZA MD
NPI 1083775035
Psychiatry & Neurology - Psychiatry in Bozeman, MT

NPI Status: Active since December 13, 2006

Contact Information

1871 S 22ND AVE STE 3
BOZEMAN, MT
ZIP 59718
Phone: (406) 585-3584
Fax: (406) 534-0411

Get Directions Reviews

  • Individual
  • Male
  • Psychiatry & Neurology
  • Psychiatry
  • PECOS Enrolled
  • Opted-Out Medicare

About THOMAS HERIZA

Thomas Heriza is a provider established in Bozeman, Montana and his medical specialization is Psychiatry & Neurology with a focus in psychiatry . The healthcare provider is registered in the NPI registry with number 1083775035 assigned on December 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 12436 (MT). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1083775035
Provider Name
DR. THOMAS JAMES HERIZA MD
Gender
Male
Entity Type
Individual
Location Address
1871 S 22ND AVE STE 3 BOZEMAN, MT 59718
Location Phone
(406) 585-3584
Location Fax
(406) 534-0411
Mailing Address
1871 S. 22ND AVE STE 3 BOZEMAN, MT 59718
Mailing Phone
(406) 585-3584
Mailing Fax
(406) 534-0411
Is Sole Proprietor?
Yes
Enumeration Date
12-13-2006
Last Update Date
04-04-2018
Code Navigator

A psychiatrist like Thomas Heriza are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Thomas Heriza opted out of Medicare effective on 09-13-2017 until 09-13-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
12436
License State
MT
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
150582MEDICAID (05)OR 

PECOS Enrollment and Medicare Participation Status

Thomas Heriza is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 09-13-2017

  • Opt-Out End Date: 09-13-2025

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. THOMAS JAMES HERIZA MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083775035
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631471006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 4 + 7 + 1 + 0 + 0 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1083775035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386981678 REBECCA J POGODA APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 404-6769
1073984019JEFF GREEN MD PC
Organization
Psychiatry & Neurology (Child & Adolescent Psychiatry)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 582-9306
1770522831 JEFFREY SCOTT GREEN MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 582-9306
1245284363MRS. SUSANNA TURNER DARR APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 404-6814
1912542861 BENJAMIN BYRON EGBERS DNP, APRN, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 506-5762

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083775035, enumerated in the NPI registry as an "individual" on December 13, 2006

The provider is located at 1871 S 22nd Ave Ste 3 Bozeman, Mt 59718 and the phone number is (406) 585-3584

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

No, the provider signed an affidavit on September 13, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 13, 2025.

This NPI record was last updated on December 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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