Active NPI
Per Kristian Amundson, MD
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01067311A
- 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, 2025
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, FL
- 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
- Diagnostic Radiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- St Mark's Hospital
- Ogden Regional Medical Center
- West Valley Medical Center
- Lakeview Hospital
- Moab Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.96 of 100
- Quality
- 92.18
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.06 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067311A | IN | MD | Neuroradiology Physician |
| 036-112560 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Diagnostic Radiology | Current | Accepting new patients |
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Revere Health PC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Neuroradiology | Current | Accepting new patients |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Green River Radiology, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Wasatch Imaging LLC | Current | Accepting new patients | |
| Tooele Valley Imaging, LLC | Current | Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Marion Hospital Corporation | Diagnostic Radiology | Past | Accepting new patients |
| Perspective Counseling Services LLC | Past | Accepting new patients | |
| Wasatch Vascular Center LLC | Past | 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
- pamundson@direct.iuhealth.org
- 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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
FL, Neuroradiology, UT
-
dba Oaklawn Hospital
- Diagnostic Radiology Physician
- Marshall, MI
- NPI 1043660467
FL
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- Taylorsville, UT
- NPI 1508533878
-
dba First Choice Imaging
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tooele, UT
- NPI 1699004499
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Sandy, UT
- NPI 1679645139
-
- Internal Medicine Physician
- Layton, UT
- NPI 1447239355
-
dba Tanner Clinic Layton South
- Multi-Specialty Clinic/Center
- Layton, UT
- NPI 1538951165
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ogden Regional Medical Center
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
dba Lakeview Hospital
- General Acute Care Hospital
- Bountiful, UT
- NPI 1528010451
-
dba Moab Regional Hospital
- Critical Access Hospital
- Moab, UT
- NPI 1770513236
-
dba Moab Regional Recovery Center
- Methadone Clinic
- Moab, UT
- NPI 1285380394
Hospital
-
dba St. Mark's Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
-
- General Acute Care Hospital
- Middleton, ID
- NPI 1609818483
-
dba West Valley Medical Center
- General Acute Care Hospital
- Caldwell, ID
- NPI 1891732905
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.