NPIMap

Individual provider Active NPI

Scott A Rundle, MD

  • Emergency Medicine Physician
  • Whitefish, MT
National Provider Identifier
1891749347
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9553 Issued in MT
Practice address
1600 Hospital Way
Whitefish, MT 59937-7849
Phone
(406) 863-3500
Fax
(406) 862-2510
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9553 MT Primary

Addresses

Primary practice location

1600 Hospital Way
Whitefish, MT 59937-7849

Mailing address

1600 Hospital Way
Whitefish, MT 59937-7849
Phone (406) 863-3500

Other identifiers 2

IdentifierTypeStateIssuer
152711MedicaidMT
93176OtherMTBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000497 MT Practitioner - Emergency Medicine 5890771091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Dakota School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mednorth Kalispell Urgent Care Clinic, LLCGroup PAC ID 3274680673, 7 clinicians

Practice addresses (Care Compare)

2316 US Hwy 93 N
Kalispell, MT 59901-2547
Phone (406) 755-5661

Hospital & facility affiliations

  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mednorth Kalispell Urgent Care Clinic, LLC CurrentSince Apr 15, 2021 Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine CurrentSince Jun 7, 2014 Accepting new patients
Associates for Inpatient Medicine, LLC Past Accepting new patients
Logan Health - Whitefish Past Accepting new patients

Locations

2316 US Highway 93 N
Kalispell, MT 59901
Phone (406) 755-3991

1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500

Organizations & group practices 4

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 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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1891749347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HOSPITAL WAY",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377849",
            "telephone_number": "406-863-3500",
            "fax_number": "406-862-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HOSPITAL WAY",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377849",
            "telephone_number": "406-863-3500",
            "fax_number": "406-862-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDLE",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "9553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152711",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "93176",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.