TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE
NPI 1013085604
Radiology - Body Imaging in Idaho Falls, ID
About Teton Radiology Diagnostic A Series Of Teton Group Enterprise NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE (NPI 1013085604), doing business as Teton Radiology, is a healthcare organization registered as a body imaging in Idaho Falls, Idaho and active in the NPI registry since December 2006. The organization lists Michael P Hodel, General Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 10
Other Names 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teton Radiology Diagnostic A Series Of Teton Group Enterprise is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Teton Radiology Diagnostic A Series Of Teton Group Enterprise, which bills Medicare for the services they deliver. Of these, 20 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 41Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Teton Radiology Diagnostic A Series Of Teton Group Enterprise's NPI number?
The NPI number for Teton Radiology Diagnostic A Series Of Teton Group Enterprise is 1013085604. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Teton Radiology and Teton Radiology Diagnostic LLC.
Where is Teton Radiology Diagnostic A Series Of Teton Group Enterprise located?
Teton Radiology Diagnostic A Series Of Teton Group Enterprise is located at 2001 S Woodruff Ave Ste 17, Idaho Falls, ID 83404. The listed phone number is (208) 524-7237.
What is Teton Radiology Diagnostic A Series Of Teton Group Enterprise's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.
Is Teton Radiology Diagnostic A Series Of Teton Group Enterprise enrolled in Medicare?
Yes. Teton Radiology Diagnostic A Series Of Teton Group Enterprise is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Teton Radiology Diagnostic A Series Of Teton Group Enterprise?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 3 Medicare specialties reassign their Medicare billing to Teton Radiology Diagnostic A Series Of Teton Group Enterprise. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (38), Interventional Radiology (2) and Nurse Practitioner (1). Of these, 20 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Teton Radiology Diagnostic A Series Of Teton Group Enterprise accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare and Select Health list Teton Radiology Diagnostic A Series Of Teton Group Enterprise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Teton Radiology Diagnostic A Series Of Teton Group Enterprise was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Teton Radiology Diagnostic A Series Of Teton Group Enterprise · NPI 1013085604
Body Imaging organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since December 1, 2006.
## Identity
- **NPI:** 1013085604 (Entity type: Organization)
- **Enumerated:** December 1, 2006
- **Primary specialty:** Radiology - Body Imaging · taxonomy 2085B0100X
- **Also known as:** Teton Radiology (Doing Business As); Teton Radiology Diagnostic LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Hodel, GENERAL MANAGER
## Practice location
- **Address:** 2001 S WOODRUFF AVE STE 17, Idaho Falls, ID 83404-6372
- **Phone:** (208) 524-7237
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 41 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (38), Interventional Radiology (2), Nurse Practitioner (1); 20 practice within 10 miles; [full list](https://npiprofile.com/npi/1013085604/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2026
- **Other identifiers:** Medicaid 807617900 (ID); Other DF6608
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Source: [NPI Profile](https://npiprofile.com/npi/1013085604) · Data from the CMS NPPES public registry.