Individual provider Active NPI

Rutger Gunther, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1669911434
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
U4519 Issued in TX
Practice address
3551 Roger Brooke Drive
Jbsa Fort Sam Houston
San Antonio, TX 78234
Phone
(210) 228-6405
NPI assigned
Feb 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X U4519 TX
Diagnostic Radiology Physician 2085R0202X 31535 NE
General Practice Physician 208D00000X 31535 NE
Diagnostic Radiology Physician 2085R0202X U4519 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Drive
Jbsa Fort Sam Houston
San Antonio, TX 78234

Mailing address

3551 Roger Brooke Drive
Jbsa Fort Sam Houston
San Antonio, TX 78234
Phone (210) 228-6405

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231024000421 TX Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 7012363351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Medical Physician Specialists PCGroup PAC ID 5294639407, 29 clinicians
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

18123 Resort VW
San Antonio, TX 78255-3339
Phone (801) 713-0600

3985 Fossil Rock
San Antonio, TX 78261-2632
Phone (469) 757-1042

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Hospital & facility affiliations

  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041
  • Holy Cross Hospital - Salt Lake Hospital, Salt Lake City, UT, CCN 460003
  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31535NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Medical Physician Specialists PC Diagnostic Radiology CurrentSince Oct 9, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology Current Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Oct 1, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

25723 Old Fredericksburg Rd
Boerne, TX 78015
Phone (210) 450-6800

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

4940 Charles Katz
San Antonio, TX 78229
Phone (210) 450-9700

8311 Ewing Halsell Dr
Fl 1
San Antonio, TX 78229

4306 De Zavala Rd
Bldg 1
San Antonio, TX 78249
Phone (210) 450-6720

8300 Floyd Curl Dr
Fl 4
San Antonio, TX 78229
Phone (210) 450-9600

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

1580 W Antelope Dr
Ste 290
Layton, UT 84041
Phone (801) 776-0880

5334 S Woodrow St
Ste 101
Salt Lake City, UT 84107
Phone (801) 262-8120

Organizations & group practices 5

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 4

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1669911434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DRIVE",
            "address_2": "JBSA FORT SAM HOUSTON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-228-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DRIVE",
            "address_2": "JBSA FORT SAM HOUSTON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-228-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNTHER",
        "first_name": "RUTGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "TX",
            "license": "U4519",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "31535",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "31535",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "U4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.