Teton Radiology Madison LLC
NPI 1407081060ActiveOrganization· Radiology, Body Imaging· Rexburg, ID
Radiology, Body Imaging in Rexburg, Idaho, registered in NPPES in May 2009. The authorized official on file is John J. Strobel, MD, Vp. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1407081060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2009 |
| Last updated in NPPES | Oct 19, 2026 |
| Certified by provider | Oct 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Body Imaging Primary | 2085B0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WY) |
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