NPIMap

Individual provider Active NPI

William Benedetto, M.D.

  • Diagnostic Radiology Physician
  • Kalispell, MT
National Provider Identifier
1750452983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7967 Issued in MT
Practice address
320 Sunnyview LN
Kalispell, MT 59901-3129
Phone
(406) 751-7519
Fax
(406) 751-7529
NPI assigned
Nov 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7967 MT Primary

Addresses

Primary practice location

320 Sunnyview LN
Kalispell, MT 59901-3129

Mailing address

PO Box 9110
Kalispell, MT 59904-2110
Phone (406) 751-7519

Other identifiers 1

IdentifierTypeStateIssuer
0019825MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100429000659 MT Practitioner - Diagnostic Radiology 6204867807 Reassigns benefits to 11 organizations
I20210811003081 NM Practitioner - Diagnostic Radiology 6204867807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Community HospitalGroup PAC ID 5496659567, 59 clinicians
Northwest Imaging, PCGroup PAC ID 8426969155, 18 clinicians

Practice addresses (Care Compare)

107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 676-4441

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6488

5513 Redfox Rd
Las Cruces, NM 88007-6017
Phone (406) 751-7519

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Apr 1, 2025 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Nov 1, 2021 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Jan 25, 2022 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
St. Lukes Community Hospital Current Accepting new patients
St Lukes Community Hospital CurrentSince Jun 1, 2017 Accepting new patients
Northwest Imaging, PC Diagnostic Radiology CurrentSince Oct 1, 1996 Accepting new patients
Logan Health - Conrad CurrentSince Nov 1, 2025 Accepting new patients
Logan Health - Shelby CurrentSince Sep 1, 2025 Accepting new patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Apr 1, 2025 Accepting new patients
St Lukes Community Hospital CurrentSince Jun 1, 2017 Accepting new patients
Northern Rockies Medical Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Glacier Regional Pathology, LTD. Current Accepting new patients
Logan Health - Shelby CurrentSince Sep 1, 2025 Accepting new patients
Logan Health - Conrad CurrentSince Nov 1, 2025 Accepting new patients
Northern Rockies Medical Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Nov 1, 2021 Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Locations

805 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

809 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

802 2nd St SE
Cut Bank, MT 59427
Phone (406) 873-2251

160 Heritage Way
Ste 202
Kalispell, MT 59901
Phone (406) 752-8433

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

320 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 752-7441

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

104 Rufus Ln
Polson, MT 59860
Phone (406) 543-8512

107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

640 Park Ave
Shelby, MT 59474
Phone (406) 434-3200

Organizations & group practices 20

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 20

Hospital & facility affiliations 11

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750452983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9110",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599042110",
            "telephone_number": "406-751-7519",
            "fax_number": "406-751-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129",
            "telephone_number": "406-751-7519",
            "fax_number": "406-751-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDETTO",
        "first_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "7967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019825",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.