Active NPI
Dustyn Whitesel, MD
- Emergency Medicine Physician
- Polson, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MED-PHYS-LIC-159405
- Practice address
- 6 13TH Ave E
Polson, MT 59860-5315 - Phone
- (406) 883-5680
- Fax
- (406) 883-8910
- NPI assigned
- Mar 23, 2021
- Last updated
- Mar 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | MED-PHYS-LIC-159405 | MT | Primary |
| Emergency Medicine Physician | 207P00000X | 330283 | NY | |
| Emergency Medicine Physician | 207P00000X | 01093777A | IN | |
| Emergency Medicine Physician | 207P00000X | 76453 | AZ |
Addresses
Primary practice location
6 13TH Ave E
Polson, MT 59860-5315
Mailing address
PO Box 31001
Pasadena, CA 91110-4114
Phone (406) 883-5680
Other practice location 1
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwhitesel207482@direct.metrohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, AZ, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Cincinnati College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Hospital Way
Whitefish, MT 59937-7849
Phone (406) 863-3550
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
6 13TH Ave E
Polson, MT 59860-5315
Phone (406) 883-5377
Hospital & facility affiliations
- Summit Healthcare Regional Medical Center
- Providence St Joseph Medical Center
- Logan Health - Whitefish
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76453 | AZ | MD | Emergency Medicine Physician |
| MED-PHYS-LIC-159405 | MT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Medical Associates New York PC | Emergency Medicine | Current | Accepting new patients |
| Credena Health LLC | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Innova Emergency Medical Associates PC | Emergency Medicine | Current | Accepting new patients |
| Physicians Medical Associates New York PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Union Hospital Inc. | Current | Accepting new patients | |
| Providence St Joseph Medical Center | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377
1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415
Interoperability endpoints
- dwhitesel@unionhealth.cernerdirect.com
Organizations & group practices 11
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.
-
dba Prov St Joseph Med Ctr
- Family Medicine Physician
- Polson, MT
- NPI 1669655528
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
MT
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1073386421
-
dba Credena Health Pharmacy Lakeshore
- Community/Retail Pharmacy
- Polson, MT
- NPI 1164809778
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Clinton, IN
- NPI 1992274385
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1487409702
-
dba Metrohealth Medical Center
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Logan Health - Whitefish Outpatient Laboratory
- Critical Access Hospital
- Whitefish, MT
- NPI 1396710851
-
dba Prov St Joseph Med Ctr
- Critical Access Hospital
- Polson, MT
- NPI 1821184888
-
dba Summit Healthcare Oncology Center
- Oncology Clinic/Center
- Show Low, AZ
- NPI 1083736128
Hospital
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
dba Family Medicine at Bison Ranch
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1285210948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001",
"city": "PASADENA",
"state": "CA",
"postal_code": "911104114",
"telephone_number": "406-883-5680",
"fax_number": "406-883-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 13TH AVE E",
"city": "POLSON",
"state": "MT",
"postal_code": "598605315",
"telephone_number": "406-883-5680",
"fax_number": "406-883-8910"
}
],
"practiceLocations": [
{
"address_1": "2500 Metrohealth Dr",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441091900",
"country_code": "US",
"telephone_number": "216-778-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITESEL",
"first_name": "DUSTYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "MED-PHYS-LIC-159405",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "330283",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01093777A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "76453",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwhitesel207482@direct.metrohealth.org",
"affiliation": "N",
"address_1": "2500 Metrohealth Dr",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441091900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Polson, MT
- Western Montana Area 6 Agency on Aging
- Western Montana Clinic PC
- Western Montana Mental Health Center (Lake House)
- Oliver Mayhew Whipple III, D.C.
- Terry L. Whitecotton, RPH
- Wholeness in Health House-Call Clinic LLC
- Wild Hare Wellness
- Christopher Ross Williams, MD
- Elizabeth Rae Susanne Williams, CLC
- Maria McNeil Williams, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.