Individual provider Active NPI

Benjamin Lloyd Rase, M.D.

  • Diagnostic Radiology Physician
  • Bozeman, MT
National Provider Identifier
1669767729
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MED-PHYS-LIC-87558 Issued in MT
Practice address
1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone
(406) 587-8631
Fax
(406) 587-1343
NPI assigned
Jun 16, 2011
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11016076A IN
Diagnostic Radiology Physician 2085R0202X 01075286A IN
Diagnostic Radiology Physician 2085R0202X MED-PHYS-LIC-87558 MT Primary

Addresses

Primary practice location

1648 Ellis St Ste 201
Bozeman, MT 59715-8811

Mailing address

1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone (406) 587-8631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201119000838 MT Practitioner - Diagnostic Radiology 2062658859 Reassigns benefits to 12 organizations
I20260603001180 GA Practitioner - Diagnostic Radiology 2062658859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Colorado School of Medicine, Aurora, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Synergy Radiology LLCGroup PAC ID 2668727744, shared by 2 NPIs, 73 clinicians
Pro Radiology LLCGroup PAC ID 1052696432, 112 clinicians

Practice addresses (Care Compare)

Bozeman, MT 59718
Phone (888) 909-7572

1501 Milstead Rd NE
Suite 140
Conyers, GA 30012-3849
Phone (678) 374-7322

Bozeman, MT 59718-9260
Phone (770) 217-7141

60 Peachtree Park Dr NE
Suite 100
Atlanta, GA 30309-1304
Phone (678) 278-8800

Merit-based Incentive Payment System (MIPS)

Final score
43.66 of 100Reported as group
Quality
87.31
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
80.42 of 100Reported as group
Quality
94.62
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Imaging of South Carolina LLC CurrentSince Feb 3, 2025 Accepting new patients
North Star CN, LP CurrentSince Aug 12, 2024 Accepting new patients
North Star MRI LP CurrentSince Nov 8, 2024 Accepting new patients
North Star FP, LP CurrentSince Oct 1, 2024 Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Aug 6, 2024 Accepting new patients
Btdi JV LLP CurrentSince Apr 20, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Apr 20, 2024 Accepting new patients
North Star FM, LP CurrentSince Aug 29, 2024 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince May 20, 2024 Accepting new patients
Beaumont MRI Inc Diagnostic Radiology CurrentSince Apr 20, 2024 Accepting new patients
Btdi JV LLP CurrentSince Apr 20, 2024 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Blue Stone JV LLP CurrentSince Apr 20, 2024 Accepting new patients
American Health Imaging of Dallas, LLC CurrentSince Mar 30, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jan 30, 2026 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Mar 30, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Sep 12, 2023 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Mar 30, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 10, 2026 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Sep 10, 2024 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince Jun 12, 2024 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Dec 5, 2025 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Oct 17, 2025 Accepting new patients
Upmctdi JV LLC CurrentSince Apr 22, 2026 Accepting new patients
Btdi JV LLP CurrentSince May 20, 2024 Accepting new patients
Btdi JV LLP CurrentSince Apr 20, 2024 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince May 11, 2024 Accepting new patients
Synergy Radiology, LLC CurrentSince May 11, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jan 2, 2025 Accepting new patients
Btdi JV LLP CurrentSince Apr 20, 2024 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Mar 30, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Apr 30, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 14, 2025 Accepting new patients
North Star MRI of Frisco LP CurrentSince Nov 10, 2024 Accepting new patients
North Star NPT LP CurrentSince Dec 5, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 21, 2025 Accepting new patients
North Star MCD, LLC CurrentSince Sep 12, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince May 20, 2024 Accepting new patients
X-Ray Consultants Inc Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Oct 14, 2024 Accepting new patients
Btdi JV LLP CurrentSince Apr 20, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jun 12, 2024 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince May 20, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jun 1, 2026 Accepting new patients
North Star GV, LP CurrentSince Nov 20, 2024 Accepting new patients
Btdi JV LLP CurrentSince Apr 20, 2024 Accepting new patients
Btdi JV LLP CurrentSince May 20, 2024 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince May 20, 2024 Accepting new patients
Eastern Radiological Associates PC Diagnostic Radiology Past Accepting new patients
North Star Plano Parkway, LP Past Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

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

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

611 E Douglas Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 272-9991

121 S Saint Louis Blvd
South Bend, IN 46617
Phone (219) 233-3123

Organizations & group practices 54

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 54

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1669767729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631",
            "fax_number": "406-587-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631",
            "fax_number": "406-587-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASE",
        "first_name": "BENJAMIN",
        "middle_name": "LLOYD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11016076A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01075286A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-87558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.