TETON NUCLEAR MEDICINE SERVICE LLC
NPI 1265612543
Nuclear Medicine - Nuclear Imaging & Therapy in Idaho Falls, ID
About Teton Nuclear Medicine Service Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TETON NUCLEAR MEDICINE SERVICE LLC (NPI 1265612543) is a healthcare organization registered as a nuclear imaging & therapy in Idaho Falls, Idaho and active in the NPI registry since November 2007. The organization lists Danny L Davis, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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 Nuclear Medicine Service Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Teton Nuclear Medicine Service LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Teton Nuclear Medicine Service LLC's NPI number?
The NPI number for Teton Nuclear Medicine Service LLC is 1265612543. It was assigned to this organization in the NPPES registry on November 5, 2007.
Where is Teton Nuclear Medicine Service LLC located?
Teton Nuclear Medicine Service LLC is located at 2001 S Woodruff Ave Ste 20, Idaho Falls, ID 83404. The listed phone number is (208) 525-3201.
What is Teton Nuclear Medicine Service LLC's specialty?
The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Imaging & Therapy, with taxonomy code 207UN0902X.
Is Teton Nuclear Medicine Service LLC enrolled in Medicare?
Yes. Teton Nuclear Medicine Service LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Teton Nuclear Medicine Service LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Teton Nuclear Medicine Service LLC. 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. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Teton Nuclear Medicine Service LLC accept?
Health plans from Molina Healthcare, PacificSource Health Plans and Select Health list Teton Nuclear Medicine Service LLC 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 Nuclear Medicine Service LLC was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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 Nuclear Medicine Service Llc · NPI 1265612543
Nuclear Imaging & Therapy organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since November 5, 2007.
## Identity
- **NPI:** 1265612543 (Entity type: Organization)
- **Enumerated:** November 5, 2007
- **Primary specialty:** Nuclear Medicine - Nuclear Imaging & Therapy · taxonomy 207UN0902X
- **Organization subpart:** No
- **Authorized official:** Danny Davis, MANAGER
## Practice location
- **Address:** 2001 S WOODRUFF AVE, STE 20, Idaho Falls, ID 83404-6374
- **Phone:** (208) 525-3201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1265612543) · Data from the CMS NPPES public registry.