Teton Radiology Diagnostic a Series of Teton Group Enterprise
NPI 1013085604 · Body Imaging Physician · Idaho Falls, ID
Provider details
- NPI number
- 1013085604
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Hodel, General Manager(208) 542-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Radiology Physician2085P0229X
Allopathic & Osteopathic Physicians
- Nuclear Radiology Physician2085N0904X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Therapeutic Radiology Physician2085R0203X
Allopathic & Osteopathic Physicians
- Neuroradiology Physician2085N0700X
Allopathic & Osteopathic Physicians
- Diagnostic Ultrasound Physician2085U0001X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Teton Radiology
- Doing business as
- Teton Radiology Diagnostic LLC
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.