Individual provider Active NPI

Per Kristian Amundson, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1619940863
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01067311A Issued in IN
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 962-5740
Fax
(317) 962-8281
NPI assigned
Feb 8, 2006
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 01067311A IN
Diagnostic Radiology Physician 2085R0202X 036-112560 IL
Diagnostic Radiology Physician 2085R0202X 01067311A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959

Other practice location 1

355 W 16TH St
Indianapolis, IN 46202-2207
Phone (317) 963-1300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pamundson@direct.iuhealth.org Direct
Direct Messaging Address pamundson@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, UT, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110413000390 IN Practitioner - Diagnostic Radiology 5294788204 Reassigns benefits to 2 organizations
I20170518001319 UT Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 5294788204 Reassigns benefits to 7 organizations
I20230731003810 FL Practitioner - Diagnostic Radiology 5294788204 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green River Radiology PCGroup PAC ID 5294123063, 23 clinicians
Indiana University Radiology Associates IncGroup PAC ID 7315922267, 213 clinicians
Utah Imaging Associates IncGroup PAC ID 1355394537, 45 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Tooele Valley Imaging LLCGroup PAC ID 2466624630, 24 clinicians
Wasatch Imaging LLCGroup PAC ID 7012949522, 16 clinicians

Practice addresses (Care Compare)

12842 S 3600
Suite 100
Riverton, UT 84065-6853
Phone (385) 253-4586

1701 N Senate Blvd
C6
Indianapolis, IN 46202-1239
Phone (317) 962-9000

22215 Bella Lago Dr
Boca Raton, FL 33433-4852
Phone (707) 688-4623

22215 Bella Lago Dr
Apt 2123
Boca Raton, FL 33433-4854
Phone (801) 298-1300

2296 NW 36TH St
Boca Raton, FL 33431-5417
Phone (260) 432-1568

2356 N 400
Suite 103
Tooele, UT 84074-3409
Phone (435) 882-1674

2524 E Lambourne Ave
Salt Lake City, UT 84109-2743
Phone (707) 688-4623

3180 N 35TH St
Hollywood, FL 33021-2630
Phone (718) 749-1415

355 W 16TH St
Indianapolis, IN 46202-2207
Phone (888) 484-3258

6243 S Redwood Rd
Suite 130
Taylorsville, UT 84123-6408
Phone (801) 869-5630

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 299-2220

729 King St
Suite 100
Layton, UT 84041-4681
Phone (801) 563-0333

9844 S 1300
Suite 175
Sandy, UT 84094-4688
Phone (801) 576-1290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.96 of 100Reported as group
Quality
92.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067311AINMDNeuroradiology Physician
036-112560ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Feb 21, 2025 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Revere Health PC CurrentSince Jul 1, 2017 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 23, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. Neuroradiology CurrentSince Sep 1, 2019 Accepting new patients
Tanner Memorial Clinic Current Accepting new patients
Green River Radiology, P.C. Diagnostic Radiology CurrentSince Apr 14, 2024 Accepting new patients
Tanner Memorial Clinic CurrentSince Feb 12, 2025 Accepting new patients
Wasatch Imaging LLC CurrentSince Sep 15, 2024 Accepting new patients
Tooele Valley Imaging, LLC CurrentSince Oct 1, 2020 Accepting new patients
Tanner Memorial Clinic CurrentSince Feb 12, 2025 Accepting new patients
Revere Health PC CurrentSince Jul 1, 2017 Accepting new patients
Marion Hospital Corporation Diagnostic Radiology Past Accepting new patients
Perspective Counseling Services LLC PastSince Dec 1, 2025 Accepting new patients
Wasatch Vascular Center LLC PastSince Nov 1, 2019 Accepting new patients
National Radiology Group, LLC Diagnostic Radiology Past Accepting new patients
Scott E Southworth MD PC Past Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

500 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-7676

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

355 W 16th St
Indianapolis, IN 46202
Phone (317) 963-7070

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

2310 N 400 E
Ste F
Logan, UT 84341
Phone (435) 258-9598

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586

9844 S 1300 E
Ste 175
Sandy, UT 84094
Phone (801) 576-1290

3702 S State St
Ste 111
South Salt Lake, UT 84115
Phone (801) 281-0027

6243 S Redwood Rd
Ste 130
Taylorsville, UT 84123
Phone (801) 288-9671

2356 N 400 E
Ste 103
Tooele, UT 84074
Phone (435) 882-1674

Interoperability endpoints

  • Direct secure messaging: pamundson@direct.iuhealth.org
  • Direct secure messaging: pamundson69921@direct.eskenazihealth.edu

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1619940863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-5740",
            "fax_number": "317-962-8281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 W 16TH ST",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022207",
            "country_code": "US",
            "telephone_number": "317-963-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "PER",
        "middle_name": "KRISTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IN",
            "license": "01067311A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-112560",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01067311A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamundson@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "355 W 16TH ST",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462022207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamundson@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.