PHOENIX RADIOLOGY, PLLC
NPI 1164493334
Radiology - Vascular & Interventional Radiology in Lewiston, ID
NPI Status: Active since January 27, 2006
Contact Information
415 6TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 799-5335
- Organization
- Radiology
- Vascular & Interventional Radiology
About PHOENIX RADIOLOGY, PLLC
This page provides the complete NPI Profile along with additional information for Phoenix Radiology, Pllc, a provider established in Lewiston, Idaho operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1164493334 assigned on January 2006. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mark W Peterson M.d. (Owner)
- NPI
- 1164493334
- Provider Name
- PHOENIX RADIOLOGY, PLLC
- Entity Type
- Organization
- Location Address
- 415 6TH ST LEWISTON, ID 83501
- Location Phone
- (208) 799-5335
- Mailing Address
- 531 4TH AVE LEWISTON, ID 83501
- Mailing Phone
- (208) 743-4393
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
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 Vascular & Interventional Radiology
- Taxonomy Code
- 2085R0204X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance 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) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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.
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 |
|---|---|---|---|
| DC3860 | OTHER (01) | RAILROAD MEDICARE | |
| 0192979 | OTHER (01) | WA | LABOR & INDUSTRIES |
| 000010148406 | OTHER (01) | ID | REGENCE BS OF IDAHO |
| 8J679 | OTHER (01) | ID | BLUE CROSS OF IDAHO |
| 7124605 | MEDICAID (05) | WA |
Reviews for PHOENIX RADIOLOGY, PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1164493334, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LEWISTON, ID 83501
LEWISTON, ID 83501
LEWISTON, ID 83501
LEWISTON, ID 83501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164493334, enumerated as an "organization" on January 27, 2006.
The provider is located at 415 6TH ST LEWISTON, ID 83501 and the phone number is (208) 799-5335.
Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.
