| Dr Matthew Lee Hustrulid, MD | |
| 2929 5th St, Rapid City, SD 57701-7363 | |
| (605) 342-2852 | |
| (605) 342-3930 | 
| Full Name | Dr Matthew Lee Hustrulid | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 2929 5th St, Rapid City, South Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316467053 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R-11049 (Iowa) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 14255 (South Dakota) | Primary | 
| Entity Name | Radiology Associates Prof Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093772527 PECOS PAC ID: 0941192314 Enrollment ID: O20040329001337 | 
| Entity Name | The Imaging Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306892708 PECOS PAC ID: 0345347803 Enrollment ID: O20070626000049 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Matthew Lee Hustrulid, MD 200 Hawkins Dr., Department Of Radiology, Iowa City, IA 52242-1009 Ph: (319) 356-3444 | Dr Matthew Lee Hustrulid, MD 2929 5th St, Rapid City, SD 57701-7363 Ph: (605) 342-2852 | 
| Dr. Charles Virgil Voigt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2929 5th St Ste 100, Rapid City, SD 57701 Phone: 817-570-7300 Fax: 817-570-7062 | |
| Thomas L Krafka, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2929 5th St, First Floor, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 | |
| Jon R Stenberg, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2929 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 | |
| Robert A Durst Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2929 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 604-342-3930 | |
| Timothy Robert Frost, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2929 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 | |
| Joseph P Sejvar, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2929 5th St, Suite 150, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 | |
| Dr. Rishi A Nigam, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2929 5th St Ste 100, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 |