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Teton Radiology Diagnostic A Series of Teton Group Enterprise

Body Imaging Physician in Idaho Falls, ID · enumerated 2006 · authorized official Michael Hodel, General Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013085604

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Registry record

Entity type Organization (Type 2)
Legal business name Teton Radiology Diagnostic A Series of Teton Group Enterprise
Other name <Unavail>
Practice address 2001 S Woodruff Ave Ste 17, Idaho Falls, ID, 83404
Enumeration date Dec 1, 2006
Last updated in NPPES Jan 5, 2026

Taxonomy & classification

2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians Primary
2085N0700X Neuroradiology Physician Allopathic & Osteopathic Physicians Secondary
2085N0904X Nuclear Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085P0229X Pediatric Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085R0001X Radiation Oncology Physician Allopathic & Osteopathic Physicians Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085R0203X Therapeutic Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085R0205X Radiological Physics Physician Allopathic & Osteopathic Physicians Secondary
2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Michael Hodel
Title General Manager

Other identifiers

Identifier Type State Issuer
807617900 Medicaid ID -
DF6608 Other - RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Teton Radiology Diagnostic A Series of Teton Group Enterprise?
Teton Radiology Diagnostic A Series of Teton Group Enterprise is registered in NPPES as a Body Imaging Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-05.