PMG MT IHI SUPERIOR
NPI 1902063688
Internal Medicine - Cardiovascular Disease in Superior, MT

Active since May 20, 2008
1208 6TH AVE, SUPERIOR, MT 59872(406) 822-4278(406) 329-5606 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pmg Mt Ihi Superior NPPES

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

PMG MT IHI SUPERIOR (NPI 1902063688) is a healthcare organization registered as a cardiovascular disease in Superior, Montana and active in the NPI registry since May 2008. The organization lists Teri Masters, Rcm Operations Mgr, as its authorized official.

NPPES Registry Identity

NPI1902063688
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address1208 6TH AVESuperior, MT 59872-9618
Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (406) 822-4278 · Fax (406) 329-5606
Fax(406) 329-5606
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialTeri MastersRcm Operations Mgr · (406) 329-5795
Enumeration DateMay 20, 2008
Last NPPES UpdateJune 22, 2011
✔ NPI 1902063688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
1208 6TH AVE, Superior, MT 59872

Other Names 1

Doing Business AsPmg Mt Ihi Superior

Other Identifiers 1

Medicare PINM000009936MT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pmg Mt Ihi Superior is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

325

Medicare enrollment records show 325 clinicians reassign Medicare billing to Pmg Mt Ihi Superior, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Nurse Practitioner66
Family Practice22
Emergency Medicine19
Neurology19
Cardiovascular Disease (Cardiology)18
Clinical Social Worker18
Internal Medicine17
General Surgery14
33 other specialties132

Nearest to this location (20)

See all 325
General Surgery
NPI 1124118468
CLARK FORK VALLEY HOSPITAL #10 KRUGER RD
Plains, MT 59859
(406) 826-4853
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1467894121
107 6TH AVE SW
Ronan, MT 59864
(406) 676-4441
✔ PECOS✔ Accepts Medicare43 mi
Critical Care (Intensivists)
NPI 1376767897
2825 STOCKYARD RD STE I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare44 mi
Pediatric Medicine
NPI 1487727889
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS44 mi
Anesthesiology
NPI 1770016107
2825 STOCKYARD RD STE I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1649032731
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare44 mi
Sleep Medicine
NPI 1275633174
2829 GREAT NORTHERN LOOP STE 300
Missoula, MT 59808
(406) 541-7000
✔ PECOS✔ Accepts Medicare45 mi
Plastic and Reconstructive Surgery
NPI 1790735058
2802 GREAT NORTHERN LOOP
Missoula, MT 59808
(406) 728-3811
✔ PECOS45 mi
Hematology/Oncology
NPI 1457543340
2837 FORT MISSOULA RD
Missoula, MT 59804
(406) 327-3911
✔ PECOS✔ Accepts Medicare45 mi
Neurology
NPI 1225023096
2835 FORT MISSOULA RD STE 203
Missoula, MT 59804
(406) 327-4091
✔ PECOS✔ Accepts Medicare46 mi
Hospitalist
NPI 1417344276
2827 FORT MISSOULA RD
Missoula, MT 59804
(406) 728-4100
✔ PECOS✔ Accepts Medicare46 mi
Clinical Social Worker
NPI 1356871503
725 W ALDER ST STE 14
Missoula, MT 59802
(406) 616-3969
✔ PECOS✔ Accepts Medicare46 mi
Hospice/Palliative Care
NPI 1407055130
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts Medicare46 mi
Clinical Psychologist
NPI 1295750636
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 327-3330
✔ PECOS✔ Accepts Medicare46 mi
General Surgery
NPI 1033472519
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5828
✔ PECOS✔ Accepts Medicare47 mi
Emergency Medicine
NPI 1518464643
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5635
✔ PECOS✔ Accepts Medicare47 mi
Vascular Surgery
NPI 1881675882
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare47 mi
Infectious Disease
NPI 1780879098
500 W BROADWAY ST
Missoula, MT 59802
(406) 327-1841
✔ PECOS✔ Accepts Medicare47 mi
Neurosurgery
NPI 1154315695
500 WEST BROADWAY STREET SUITE 310
Missoula, MT 59802
(406) 728-6520
✔ PECOS✔ Accepts Medicare47 mi
Internal Medicine
NPI 1053671792
500 W BROADWAY ST FL 4
Missoula, MT 59802
(406) 327-1900
✔ PECOS✔ Accepts Medicare47 mi
See all 325 clinicians

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

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 Providence Health & Services Mt's NPI number?

The NPI number for Providence Health & Services Mt is 1902063688. It was assigned to this organization in the NPPES registry on May 20, 2008. The provider is doing business as Pmg Mt Ihi Superior.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 1208 6th Ave, Superior, MT 59872. The listed phone number is (406) 822-4278.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Providence Health & Services Mt enrolled in Medicare?

Yes. Providence Health & Services Mt is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Mt?

According to the CMS Revalidation Reassignment List (October 2026 release), 325 clinicians in 41 Medicare specialties reassign their Medicare billing to Providence Health & Services Mt. A 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 the clinician's services. The largest specialties are Nurse Practitioner (66), Family Practice (22) and Emergency Medicine (19). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Mt was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.