Individual provider Active NPI

Kevin H Kundis, DPM

  • Podiatrist
  • Great Falls, MT
National Provider Identifier
1265953822
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
87657 Issued in MT
Practice address
1301 11TH Ave S Ste 6
Great Falls, MT 59405-4654
Phone
(406) 761-2222
Fax
(406) 761-7219
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 87657 MT Primary

Addresses

Primary practice location

1301 11TH Ave S Ste 6
Great Falls, MT 59405-4654

Mailing address

1301 11TH Ave S Ste 6
Great Falls, MT 59405-4654
Phone (406) 761-2222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkundis19117@benefishs.direct-ci.com Benefis Hospitals Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827000737 MT Practitioner - Podiatry 1456778018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Midwestern University, Chicago College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

1301 11TH Ave S
Suite 6
Great Falls, MT 59405-4654
Phone (406) 455-5000

1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 455-5000

1518 Chouteau St
Fort Benton, MT 59442-9003
Phone (406) 455-5000

1645 Vandelay Ave
Helena, MT 59601-3929

915 4TH St NW
Choteau, MT 59422-9123
Phone (406) 455-5000

PO Box
Suite 6010
Great Falls, MT 59406-6010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions1-10
Removal of nail tissue606
Removal or shaving of skin growth316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87657MTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals, Inc. CurrentSince Jul 15, 2020 Accepting new patients
Benefis Hospitals Inc CurrentSince Jul 15, 2020 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763

1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1300 28th St S
Ste 6
Great Falls, MT 59405
Phone (406) 455-5437

1301 11th Ave S
Ste 6
Great Falls, MT 59405
Phone (406) 761-2222

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1645 Vandelay Ave
Ste 201
Helena, MT 59601
Phone (406) 389-2505

1645 Vandelay Ave
Ste 301
Helena, MT 59601
Phone (406) 389-2520

2960 N Washington St
Helena, MT 59602
Phone (406) 389-2555

1645 Vandelay Ave
Ste 102
Helena, MT 59601
Phone (406) 389-2500

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.

Hospital & facility affiliations 4

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1265953822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 11TH AVE S STE 6",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054654",
            "telephone_number": "406-761-2222",
            "fax_number": "406-761-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 11TH AVE S STE 6",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054654",
            "telephone_number": "406-761-2222",
            "fax_number": "406-761-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDIS",
        "first_name": "KEVIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MT",
            "license": "87657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkundis19117@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1301 11th Ave S Ste 6",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594054654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.