TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE
TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1013085604, based in Idaho Falls, ID. The organization lists 10 taxonomy classifications, with Body Imaging Physician recorded as primary.
Getting there
The practice address on file is 2001 S WOODRUFF AVE STE 17, Idaho Falls, ID 83404. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1254436959
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Body Imaging covers
A Radiology doctor of Osteopathy that specializes in Body Imaging. NUCC Health Care Provider Taxonomy, code 2085B0100X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085B0100X | Body Imaging Physician Body Imaging | — | — | primary |
| 2085P0229X | Pediatric Radiology Physician Pediatric Radiology | — | — | |
| 2085N0904X | Nuclear Radiology Physician Nuclear Radiology | — | — | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | — | — | |
| 2085R0203X | Therapeutic Radiology Physician Therapeutic Radiology | — | — | |
| 2085N0700X | Neuroradiology Physician Neuroradiology | — | — | |
| 2085U0001X | Diagnostic Ultrasound Physician Diagnostic Ultrasound | — | — | |
| 2085R0205X | Radiological Physics Physician Radiological Physics | — | — | |
| 2085R0001X | Radiation Oncology Physician Radiation Oncology | — | — | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1013085604 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 1, 2006 |
| Last updated | Jan 5, 2026 |
| Status | Active |
| Practice address |
2001 S WOODRUFF AVE STE 17 Idaho Falls, ID 83404 (208) 524-7237 |
| Mailing address |
PO BOX 30015 DEPT 594 Salt Lake City, UT 84130 |
| Other identifiers |
807617900
(ID) DF6608 · RAILROAD MEDICARE |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 1 | 3 | 0 | 8 | 5 | 6 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 2 | 3 | 0 | 8 | 1 | 6 | 0 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.