RONNIE M. GUNDLACH (D.O.) – Diagnostic Radiology Physician, NPI 1093700957

RONNIE M. GUNDLACH (D.O.) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. OS15004 (FL). The NPI Number for RONNIE M. GUNDLACH (D.O.) is 1093700957

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
RONNIE M. GUNDLACH (D.O.)
NPI
1093700957
Phone
(952) 595-1301
Address
11995 SINGLETREE LN STE 500
Enumeration Date
16 September 2005
Last Update Date
21 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8323554112
Graduation Year
2003 (23 years ago)
PAC ID
1759529456
Group Practice PAC ID
6305731118
Professional Enrollment ID
I20180313000820
Address ID
FL326087138GA4535XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for RONNIE M. GUNDLACH (D.O.)

  • 11995 SINGLETREE LN STE 500

    EDEN PRAIRIE, MN 553445349

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Location

  • 3600 MINNESOTA DR STE 800

    EDINA, MN 554357915

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Boston Scientific Corporation ($37).

Total Amount

$37

General + Research + Ownership

Payments

1

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180313000820IDiagnostic RadiologyFLTBD
I20221007000267IDiagnostic RadiologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view213201$0
70450Ct scan head or brain without contrast186185$0
74177Ct scan of abdomen and pelvis with contrast159159$0
74176Ct scan of abdomen and pelvis without contrast101101$0
71046X-ray of chest, 2 views8178$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305731118View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyLA
Diagnostic RadiologyTX
Diagnostic RadiologyGA
Diagnostic RadiologyTX
-TX
Interventional Cardiology, Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Interventional Radiology, Diagnostic RadiologyPA

Reviews

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Frequently asked questions

Does RONNIE M. GUNDLACH (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RONNIE M. GUNDLACH (D.O.) uses 1093700957.
Can I rely on RONNIE M. GUNDLACH (D.O.) being an active provider?
As of the registry snapshot, RONNIE M. GUNDLACH (D.O.) is marked active.
What is RONNIE M. GUNDLACH (D.O.) best known for clinically?
Directory data describes RONNIE M. GUNDLACH (D.O.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect RONNIE M. GUNDLACH (D.O.) on a map?
Expect Eden Prairie, Minnesota as a primary anchor for RONNIE M. GUNDLACH (D.O.) unless the record lists multiple sites.
Why does RONNIE M. GUNDLACH (D.O.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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