Individual provider Active NPI

Robert E Gunderman, MD

  • Diagnostic Radiology Physician
  • Springfield, OR
National Provider Identifier
1497787485
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD15793 Issued in OR
Practice address
445 Harlow Rd
Suite #200
Springfield, OR 97477-1346
Phone
(541) 681-8586
Fax
(541) 681-8587
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD15793 OR Primary

Addresses

Primary practice location

445 Harlow Rd
Suite #200
Springfield, OR 97477-1346

Mailing address

PO Box 53
Eugene, OR 97440
Phone (541) 681-8586

Other identifiers 4

IdentifierTypeStateIssuer
001144MedicaidOR
8402224MedicaidWA
MD5205RMedicaidAK
MD5206RMedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000105 OR Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5890695043 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Imaging Centers LLCGroup PAC ID 7416859749, 27 clinicians
Radiology Associates PCGroup PAC ID 2567364847, 25 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Suite 330
Eugene, OR 97401-8110
Phone (541) 687-7134

1255 Hilyard St
Eugene, OR 97401-3718
Phone (541) 686-7300

3377 Riverbend Dr
Suite 150
Springfield, OR 97477-8805
Phone (541) 736-3340

Hospital & facility affiliations

  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316
  • Peacehealth Cottage Grove Community Medical Center Hospital, Cottage Grove, OR, CCN 381301
  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Imaging, PLLC Diagnostic Radiology CurrentSince Oct 2, 2023 Accepting new patients
Mid Rogue Imaging Center CurrentSince Jun 1, 2024 Accepting new patients
Renew, LLC CurrentSince Jun 1, 2022 Accepting new patients
Bay Area Hospital District CurrentSince Apr 8, 2021 Accepting new patients
Coquille Valley Hospital District CurrentSince Apr 26, 2023 Accepting new patients
Radiology Associates PC Diagnostic Radiology CurrentSince Jun 29, 2004 Accepting new patients
Peacehealth Medical Group CurrentSince Jun 28, 2004 Accepting new patients
Peacehealth Medical Group CurrentSince Jun 28, 2004 Accepting new patients
Bay Area Hospital District CurrentSince Apr 8, 2021 Accepting new patients
Coquille Valley Hospital District CurrentSince Apr 26, 2023 Accepting new patients
Oregon Imaging Centers, L.L.C. Diagnostic Radiology CurrentSince Jun 29, 2004 Accepting new patients
Pacific Northwest Radiology LLC Diagnostic Radiology Past Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

Dept LA 25339
Pasadena, CA 91185

512 Pole Line Rd
Ste 1
Twin Falls, ID 83301
Phone (208) 735-5555

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

1200 Hilyard St
Ste 330
Eugene, OR 97401
Phone (541) 302-7771

1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

10 Coburg Rd
#220
Eugene, OR 97401
Phone (541) 681-8586

400 9th St
Florence, OR 97439
Phone (541) 997-8412

960 N 16th St
Ste 10
Springfield, OR 97477
Phone (541) 726-4959

3377 Riverbend Dr
Ste 150
Springfield, OR 97477
Phone (541) 222-6000

445 Harlow Rd
Ste 200
Springfield, OR 97477
Phone (541) 302-7771

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/
  • Direct secure messaging: rgunderm@yourcarecommunity.org

Organizations & group practices 12

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 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1497787485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97440",
            "telephone_number": "541-681-8586",
            "fax_number": "541-681-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HARLOW RD",
            "address_2": "SUITE #200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771346",
            "telephone_number": "541-681-8586",
            "fax_number": "541-681-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERMAN",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD15793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001144",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8402224",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5205R",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5206R",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.