MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
NPI 1043400484
Physician Assistant in Pocatello, ID

Active since August 01, 2007
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 227-2600 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 23, 2026, Mar 20, 2026, Jul 12, 2024 and 1 more (4 updates tracked since 2023).

About Medical Imaging Assoc Of Idaho Falls, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA (NPI 1043400484) is a healthcare organization registered as a physician assistant in Pocatello, Idaho and active in the NPI registry since August 2007. The organization lists Karen Marie Vaughn, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043400484
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing AddressPo Box 85495Chicago, IL 60689-5495 · (208) 715-5220
Organization SubpartYesParent: Medical Imaging Associates Of Idaho Falls
Authorized OfficialKaren Marie VaughnAuthorized Official · (330) 309-6984
Enumeration DateAugust 1, 2007
Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1043400484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
777 HOSPITAL WAY, Pocatello, ID 83201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Imaging Assoc Of Idaho Falls, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Medical Imaging Assoc Of Idaho Falls, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Diagnostic Radiology39
Interventional Radiology2
Cardiovascular Disease (Cardiology)1
Nurse Practitioner1

Nearest to this location (20)

See all 43
Diagnostic Radiology
NPI 1386610442
777 HOSPITAL WAY BLDG B
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1508953555
777 HOSPITAL WAY BLDG B
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1285884213
777 HOSPITAL WAY # 101
Pocatello, ID 83201
(208) 234-2001
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1891929519
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts Medicare0.2 mi
Diagnostic Radiology
NPI 1336309756
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts Medicare0.2 mi
Diagnostic Radiology
NPI 1467428540
777 HOSPITAL WAY BLDG B
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts Medicare0.2 mi
Diagnostic Radiology
NPI 1144296203
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1639726334
3200 CHANNING WAY STE A205
Idaho Falls, ID 83404
(208) 535-4580
✔ PECOS✔ Accepts Medicare46 mi
Diagnostic Radiology
NPI 1609037340
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS✔ Accepts Medicare47 mi
Diagnostic Radiology
NPI 1770781932
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS✔ Accepts Medicare47 mi
Diagnostic Radiology
NPI 1760561310
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS47 mi
Diagnostic Radiology
NPI 1457304776
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS✔ Accepts Medicare47 mi
Diagnostic Radiology
NPI 1295094530
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS✔ Accepts Medicare47 mi
Diagnostic Radiology
NPI 1992992010
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6100
✔ PECOS✔ Accepts Medicare47 mi
Diagnostic Radiology
NPI 1699854257
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS✔ Accepts Medicare47 mi
Diagnostic Radiology
NPI 1417915430
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS✔ Accepts Medicare47 mi
Diagnostic Radiology
NPI 1730447186
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS✔ Accepts Medicare47 mi
Diagnostic Radiology
NPI 1508936923
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS47 mi
Diagnostic Radiology
NPI 1770653321
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS✔ Accepts Medicare47 mi
Interventional Radiology
NPI 1740434737
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6111
✔ PECOS✔ Accepts Medicare47 mi
See all 43 clinicians

Source: 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 Medical Imaging Assoc Of Idaho Falls, PA's NPI number?

The NPI number for Medical Imaging Assoc Of Idaho Falls, PA is 1043400484. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Medical Imaging Assoc Of Idaho Falls, PA located?

Medical Imaging Assoc Of Idaho Falls, PA is located at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 227-2600.

What is Medical Imaging Assoc Of Idaho Falls, PA's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Medical Imaging Assoc Of Idaho Falls, PA enrolled in Medicare?

Yes. Medical Imaging Assoc Of Idaho Falls, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Imaging Assoc Of Idaho Falls, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 4 Medicare specialties reassign their Medicare billing to Medical Imaging Assoc Of Idaho Falls, PA. 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 (39), Interventional Radiology (2) and Cardiovascular Disease (Cardiology) (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Medical Imaging Assoc Of Idaho Falls, PA was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.