TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE – NPI #1013085604
Radiology

A Radiology doctor of Osteopathy that specializes in Body Imaging.

TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE is a radiologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1013085604 to TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE on December 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085B0100X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Body Imaging Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jan 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE below.

NPI Profile for
TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE

NPI Number
1013085604
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE
Other name(s)
All associated names:
Doing Business As (dba)
Teton Radiology
Doing Business As (dba)
Teton Radiology Diagnostic LLC
Primary location
2001 S WOODRUFF AVE STE 17
IDAHO FALLS, ID 83404-6372
Phone: (208) 524-7237 Fax:
Mailing address
PO BOX 30015
DEPT 594
SALT LAKE CITY, UT 84130-0015
Phone: (800) 475-6236 Fax: (706) 596-6712
Organization Subpart
No
Authorized Official
MICHAEL HODEL
GENERAL MANAGER
Phone: (208) 542-5000
Updated
Certification Date
Jan 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROAD MEDICAREDF6608
medicaidID807617900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.