BOISE RADIOLOGY GROUP PLLC
NPI 1740216175
Radiology - Diagnostic Radiology in Boise, ID

NPI Status: Active since June 25, 2006

Contact Information

620 W HAYS ST
BOISE, ID
ZIP 83702
Phone: (208) 381-2094
Fax: (208) 381-1791

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance

About BOISE RADIOLOGY GROUP PLLC

This page provides the complete NPI Profile along with additional information for Boise Radiology Group Pllc, a provider established in Boise, Idaho operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1740216175 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated one year ago. Boise Radiology Group Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ms. Lisa Smith (Administrator)

NPI
1740216175
Provider Name
BOISE RADIOLOGY GROUP PLLC
Entity Type
Organization
Location Address
620 W HAYS ST BOISE, ID 83702
Location Phone
(208) 381-2094
Location Fax
(208) 381-1791
Mailing Address
PO BOX 1616 EVANSVILLE, IN 47706
Mailing Phone
(208) 381-2094
Mailing Fax
(208) 381-1791
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2006
Last Update Date
03-04-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085N0700XAllopathic & Osteopathic Physicians

Radiology
Neuroradiology

 
22085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LISA SMITH

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(208) 433-9466

Reviews for BOISE RADIOLOGY GROUP PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740216175
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27804112114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 4 + 1 + 1 + 2 + 1 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1740216175 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689393654 KENNETH JUSTIN GROVER PA
Individual
Physician Assistant620 W HAYS ST
BOISE, ID 83702
(208) 381-2094
1740523513 CARL IRWIN ODOM MD
Individual
Radiology (Diagnostic Radiology)620 W HAYS ST
BOISE, ID 83702
(208) 381-2094
1609458983DR. REBEKAH LEE GOFORTH DDS, MS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)620 W HAYS ST
BOISE, ID 83702
(208) 297-6167

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740216175, enumerated in the NPI registry as an "organization" on June 25, 2006

The provider is located at 620 W Hays St Boise, Id 83702 and the phone number is (208) 381-2094

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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