INTERMOUNTAIN MEDICAL IMAGING LLC
NPI 1669423679
Radiology - Diagnostic Radiology in Boise, ID
About Intermountain Medical Imaging Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERMOUNTAIN MEDICAL IMAGING LLC (NPI 1669423679) is a healthcare organization registered as a diagnostic radiology in Boise, Idaho and active in the NPI registry since May 2006. The organization lists Wayne Baldwin, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Intermountain Medical Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Intermountain Medical Imaging LLC, which bills Medicare for the services they deliver. Of these, 30 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 39Source: 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 Intermountain Medical Imaging LLC's NPI number?
The NPI number for Intermountain Medical Imaging LLC is 1669423679. It was assigned to this organization in the NPPES registry on May 15, 2006.
Where is Intermountain Medical Imaging LLC located?
Intermountain Medical Imaging LLC is located at 927 W Myrtle St, Boise, ID 83702. The listed phone number is (208) 367-7510.
What is Intermountain Medical Imaging LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Intermountain Medical Imaging LLC enrolled in Medicare?
Yes. Intermountain Medical Imaging LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intermountain Medical Imaging LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 2 Medicare specialties reassign their Medicare billing to Intermountain Medical Imaging 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. The largest specialties are Diagnostic Radiology (37) and Nurse Practitioner (2). Of these, 30 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Intermountain Medical Imaging LLC accept?
Health plans from Molina Healthcare and PacificSource Health Plans list Intermountain Medical Imaging 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 Intermountain Medical Imaging LLC was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Intermountain Medical Imaging Llc · NPI 1669423679
Diagnostic Radiology organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since May 15, 2006.
## Identity
- **NPI:** 1669423679 (Entity type: Organization)
- **Enumerated:** May 15, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Wayne Baldwin, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 927 W MYRTLE ST, Boise, ID 83702-7061
- **Phone:** (208) 367-7510 · **Fax:** (208) 367-6367
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (37), Nurse Practitioner (2); 30 practice within 10 miles; [full list](https://npiprofile.com/npi/1669423679/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2026
- **Other identifiers:** Medicaid 806456500 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1669423679) · Data from the CMS NPPES public registry.