Teton Vascular Institute of Pocatello A Series of Teton Group
NPI 1508224379ActiveOrganization· Radiology, Vascular & Interventional Radiology· Pocatello, ID
Radiology, Vascular & Interventional Radiology in Pocatello, Idaho, registered in NPPES in February 2016. The authorized official on file is Michael P. Hodel, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1508224379 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2016 |
| Last updated in NPPES | Oct 19, 2026 |
| Certified by provider | Oct 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WY) |
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