Boise Radiology Group PLLC
NPI 1740216175ActiveOrganization· Radiology, Diagnostic Radiology· Boise, ID
Radiology, Diagnostic Radiology in Boise, Idaho, registered in NPPES in June 2006. The authorized official on file is Lisa Smith, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1740216175 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2006 |
| Last updated in NPPES | Mar 4, 2024 |
| Certified by provider | Mar 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Radiology, Neuroradiology | 2085N0700X | — | — |
| Radiology, Vascular & Interventional Radiology | 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 (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WA) |
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