Active NPI
Ian William Udell, MD
- Urology Physician
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 141791
- Practice address
- 931 Highland Blvd Ste 3360
Bozeman, MT 59715-6914 - Phone
- (406) 414-5000
- NPI assigned
- Jun 2, 2010
- Last updated
- Jul 1, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 141791 | MT | Primary |
| Urology Physician | 208800000X | MD61561040 | WA | |
| Urology Physician | 208800000X | M-16528 | ID |
Addresses
Primary practice location
931 Highland Blvd Ste 3360
Bozeman, MT 59715-6914
Mailing address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000
Other practice location 1
1119 Highland Ave Ste 1
Clarkston, WA 99403-2836
Phone (509) 254-2722
Other practice location 2
1641 E Polston Ave Ste 102
Post Falls, ID 83854-7852
Phone (208) 755-2804
Other practice location 3
3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA, 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
- Urology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804
Hospital & facility affiliations
- Kootenai Health
- Northwest Specialty Hospital
- Benewah Community Hospital
- Bonner General Hospital
- Boundary Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141791 | MT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Current | Accepting new patients | |
| Beacon Cancer Care PLLC | Current | Accepting new patients | |
| Belgrade Clinic PLLP | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Urology | Current | Accepting new patients |
| Bozeman Health Deaconess Hospital | Urology | Current | Accepting new patients |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Kootenai Health, Inc. | Urology | Past | Accepting new patients |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients |
Locations
3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815
Phone (208) 755-2804
1641 E Polston Ave
Ste 102
Post Falls, ID 83854
Phone (208) 618-5212
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
931 Highland Blvd
Ste 3360
Bozeman, MT 59715
Phone (406) 414-5300
1119 Highland Ave
Clarkston, WA 99403
Phone (509) 758-1450
1119 Highland Ave
Ste 1
Clarkston, WA 99403
Phone (509) 254-2722
1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312
825 SE Bishop Blvd
Ste 200
Pullman, WA 99163
Phone (509) 332-2517
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
Organizations & group practices 14
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 Beacon Clinic
- Multi-Specialty Clinic/Center
- Coeur d'Alene, ID
- NPI 1407335367
-
- Psychiatry Physician
- Coeur d'Alene, ID
- NPI 1174661151
-
dba Pullman Regional Hospital
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1760485221
-
- Family Medicine Physician
- Belgrade, MT
- NPI 1447280912
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1013733955
-
dba Kootenai Health Pharmacy
- Community/Retail Pharmacy
- Hayden, ID
- NPI 1235986290
-
- Rehabilitation Hospital Unit
- Coeur d'Alene, ID
- NPI 1659476455
-
- Community Based Hospice Care Agency
- Clarkston, WA
- NPI 1831100254
-
dba Tri State Medical Clinics
- Family Medicine Physician
- Clarkston, WA
- NPI 1932405693
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
-
dba Bonner General Health
- Critical Access Hospital
- Sandpoint, ID
- NPI 1154563963
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- General Acute Care Hospital
- Coeur d'Alene, ID
- NPI 1992798409
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1396065223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 HIGHLAND BLVD",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156902",
"telephone_number": "406-414-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 HIGHLAND BLVD STE 3360",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156914",
"telephone_number": "406-414-5000"
}
],
"practiceLocations": [
{
"address_1": "1119 Highland Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "WA",
"postal_code": "994032836",
"country_code": "US",
"telephone_number": "509-254-2722",
"fax_number": "509-751-9406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1641 E Polston Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Post Falls",
"state": "ID",
"postal_code": "838547852",
"country_code": "US",
"telephone_number": "208-755-2804",
"fax_number": "208-765-0277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3815 N Schreiber Way Unit 101",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838158434",
"country_code": "US",
"telephone_number": "208-755-2804",
"fax_number": "208-765-0277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UDELL",
"first_name": "IAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MT",
"license": "141791",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD61561040",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "ID",
"license": "M-16528",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.