NPIMap

Individual provider Active NPI

Carolyn Rutter, MD

  • Radiation Oncology Physician
  • Great Falls, MT
National Provider Identifier
1912016767
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
89142 Issued in MT
Practice address
1117 29TH St S
Great Falls, MT 59405-5306
Phone
(406) 731-8888
Fax
(406) 731-8876
NPI assigned
Aug 29, 2006
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 89142 MT Primary

Addresses

Primary practice location

1117 29TH St S
Great Falls, MT 59405-5306

Mailing address

1117 29TH St S
Great Falls, MT 59405-5306
Phone (406) 731-8888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crutter18674@benefishs.direct-ci.com Benefis Hospitals Inc

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
I20201021001539 MT Practitioner - Radiation Oncology 1355434903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians
Northern Montana HospitalGroup PAC ID 2264343912, 44 clinicians

Practice addresses (Care Compare)

1117 29TH St S
Great Falls, MT 59405-5306
Phone (406) 455-5000

30 13TH St
Havre, MT 59501-5222
Phone (406) 265-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89142MTMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Montana Hospital Current Accepting new patients
Northern Montana Hospital CurrentSince Oct 4, 2024 Accepting new patients
Northern Montana Hospital CurrentSince Oct 4, 2024 Accepting new patients
Benefis Hospitals Inc CurrentSince Oct 15, 2020 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Oct 15, 2020 Accepting new patients
Northern Montana Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1117 29th St S
Great Falls, MT 59405
Phone (406) 731-8150

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

30 13th St
Havre, MT 59501
Phone (406) 262-1302

40 13th St W
Havre, MT 59501
Phone (406) 262-6000

Interoperability endpoints

  • Direct secure messaging: crutter18674@benefishs.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1912016767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 29TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055306",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 29TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055306",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "CAROLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MT",
            "license": "89142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crutter18674@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1117 29th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.