NPIMap

Individual provider Active NPI

Karl R. Westenfelder, M.D.

  • Urology Physician
  • Missoula, MT
National Provider Identifier
1174502173
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
8443 Issued in MT
Practice address
2875 Tina Ave
Suite 101
Missoula, MT 59808-9039
Phone
(406) 728-3366
Fax
(406) 728-0651
NPI assigned
Jan 10, 2006
Last updated
Apr 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 8443 MT Primary

Addresses

Primary practice location

2875 Tina Ave
Suite 101
Missoula, MT 59808-9039

Mailing address

2875 Tina Ave
Suite 101
Missoula, MT 59808-9039
Phone (406) 728-3366

Other identifiers 1

IdentifierTypeStateIssuer
0063947MedicaidMT

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
I20031215000814 MT Practitioner - Urology 6305743766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Five Valleys UrologyGroup PAC ID 3870497571, 7 clinicians

Practice addresses (Care Compare)

2875 Tina Rd
Suite 101
Missoula, MT 59808
Phone 40672833665651

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8443MTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Valleys Urology Urology CurrentSince Jun 1, 2003 Accepting new patients
Foot Care Consultants Inc Past Accepting new patients
Foot Care Consultants Inc Past Accepting new patients

Locations

2875 Tina Ave
Ste 101
Missoula, MT 59808
Phone (406) 728-3366

601 W Spruce St
Ste G
Missoula, MT 59802
Phone (406) 728-3366

Interoperability endpoints

  • Direct secure messaging: kwest@fvu.emadirect.md

Organizations & group practices 3

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 11

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1174502173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE",
            "address_2": "SUITE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598089039",
            "telephone_number": "406-728-3366",
            "fax_number": "406-728-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE",
            "address_2": "SUITE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598089039",
            "telephone_number": "406-728-3366",
            "fax_number": "406-728-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTENFELDER",
        "first_name": "KARL",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MT",
            "license": "8443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063947",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.