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JACOB MICHAEL TAVERNA MD
NPI 1811979099
Internal Medicine in Butte, MT

Active since November 15, 2005
435 S CRYSTAL ST, SUITE 300, BUTTE, MT 59701(406) 496-3600(406) 496-3653 Get Directions Write a Review

NPPES record last updated: January 21, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacob Michael Taverna Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MICHAEL TAVERNA MD (NPI 1811979099) is an individual internal medicine provider in Butte, Montana, licensed in Montana (7657) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1811979099
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACOB MICHAEL TAVERNACredential: MD
Location Address435 S CRYSTAL ST, SUITE 300Butte, MT 59701-1506
Mailing Address435 S Crystal St, Suite 300Butte, MT 59701-1506 · (406) 496-3600 · Fax (406) 496-3653
Phone(406) 496-3600
Fax(406) 496-3653
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateJanuary 21, 2008
✔ NPI 1811979099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MT · 7657
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
435 S CRYSTAL ST, Butte, MT 59701
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Other Identifiers 2

Medicaid006 4818MT
Medicare UPINC64254

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Michael Taverna Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jacob Taverna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scl Health Medical Group-Butte LLC
Same address
Family Medicine
400 S CLARK ST
Butte, MT 59701
  • Reassigned Medicare billing, Montana enrollment
  • 278 clinicians in this Medicare group
NPI 1477869600 (406) 723-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. JAMES HEALTHCARE
Clinical Medical Laboratory
435 S CRYSTAL ST, SUITE 210
BUTTE, MT 59701
Silver Bow County (406) 496-3610
DESIREE VAN BLARICOM PT
Physical Therapist
435 S CRYSTAL ST, STE 400
BUTTE, MT 59701
Silver Bow County (406) 496-3456
SUMMIT LABORATORY PARTNERSHIP
Clinical Medical Laboratory
435 S CRYSTAL ST, SUITE 210
BUTTE, MT 59701
Silver Bow County (406) 496-3612
DR. NICK M DIGIOVINE MD
Orthopaedic Surgery
435 S CRYSTAL ST, SUITE 400
BUTTE, MT 59701
Silver Bow County (406) 496-3400
ST. PETER'S HEALTH
Clinic/Center (Radiology)
435 S CRYSTAL ST
BUTTE, MT 59701
Silver Bow County (406) 723-0023
KAITLYN MAY GALICA HUCKEBY APRN
Nurse Practitioner (Adult Health)
435 S CRYSTAL ST
BUTTE, MT 59701
Silver Bow County (406) 496-3670
SURGICAL SOLUTIONS OF SOUTHWEST MONTANA PC
Surgery
435 S CRYSTAL ST
BUTTE, MT 59701
Silver Bow County (406) 496-3500
BUTTE ORTHOPEDIC AND FRACTURE CLINIC PC
Orthopaedic Surgery
435 S CRYSTAL ST, SUITE 400
BUTTE, MT 59701
Silver Bow County (406) 496-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Taverna's NPI number?

The NPI number for Jacob Taverna is 1811979099. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Jacob Taverna located?

Jacob Taverna practices at 435 S Crystal St Suite 300, Butte, MT 59701. The listed phone number is (406) 496-3600.

What is Jacob Taverna's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacob Taverna enrolled in Medicare?

Yes. Jacob Taverna is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Taverna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Taverna reassigns Medicare benefits to Scl Health Medical Group-Butte LLC (Butte, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Taverna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Taverna was last updated on January 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.