TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE
NPI 1013085604
Radiology - Body Imaging in Idaho Falls, ID

NPI Status: Active since December 01, 2006

Contact Information

2001 S WOODRUFF AVE STE 17
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-7237

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  • Organization
  • Radiology
  • Body Imaging
  • Accepts Insurance

About TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE

This page provides the complete NPI Profile along with additional information for Teton Radiology Diagnostic A Series Of Teton Group Enterprise, a provider established in Idaho Falls, Idaho operating as a Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1013085604 assigned on December 2006. The practitioner's primary taxonomy code is 2085B0100X. The provider is registered as an organization and their NPI record was last updated January 2026. Teton Radiology Diagnostic A Series Of Teton Group Enterprise operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mr. Michael P Hodel (General Manager)

NPI
1013085604
Provider Legal Name
TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2001 S WOODRUFF AVE STE 17 IDAHO FALLS, ID 83404
Location Phone
(208) 524-7237
Mailing Address
PO BOX 30015 DEPT 594 SALT LAKE CITY, UT 84130
Mailing Phone
(800) 475-6236
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2006
Last Update Date
01-05-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Body Imaging

Taxonomy Code
2085B0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085N0700XAllopathic & Osteopathic Physicians

Radiology
Neuroradiology

 
22085N0904XAllopathic & Osteopathic Physicians

Radiology
Nuclear Radiology

 
32085P0229XAllopathic & Osteopathic Physicians

Radiology
Pediatric Radiology

 
42085R0001XAllopathic & Osteopathic Physicians

Radiology
Radiation Oncology

 
52085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
62085R0203XAllopathic & Osteopathic Physicians

Radiology
Therapeutic Radiology

 
72085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

 
82085R0205XAllopathic & Osteopathic Physicians

Radiology
Radiological Physics

 
92085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL P HODEL

Authorized Official Title
GENERAL MANAGER
Authorized Official Phone
(208) 542-5000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
807617900MEDICAID (05)ID 
DF6608OTHER (01)RAILROAD MEDICARE

Reviews for TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013085604, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 0 + 8 + 1 + 0 + 6 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1013085604.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Radiology (Body Imaging)
2001 S WOODRUFF AVE STE 17
IDAHO FALLS, ID 83404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013085604, enumerated as an "organization" on December 01, 2006.

The provider is located at 2001 S WOODRUFF AVE STE 17 IDAHO FALLS, ID 83404 and the phone number is (208) 524-7237.

Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.