Phoenix Radiology, PLLC
NPI 1164493334 · Vascular & Interventional Radiology Physician · Lewiston, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Radiology, PLLC is a Vascular & Interventional Radiology Physician organization in Lewiston, ID (NPI 1164493334).
Provider details
- NPI number
- 1164493334
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Peterson, Owner(208) 743-4393
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2025-09-11
Frequently asked questions
- What is Phoenix Radiology, PLLC's NPI number?
- Phoenix Radiology, PLLC's National Provider Identifier (NPI) is 1164493334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Radiology, PLLC?
- Phoenix Radiology, PLLC is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Phoenix Radiology, PLLC located?
- Phoenix Radiology, PLLC's practice location on file with NPPES is 415 6th St, Lewiston, ID 83501-2431.
- What is Phoenix Radiology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Radiology, PLLC is (208) 799-5335.
- Does Phoenix Radiology, PLLC accept Medicare?
- Phoenix Radiology, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phoenix Radiology, PLLC?
- The authorized official listed on Phoenix Radiology, PLLC's NPPES record is Mark Peterson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Radiology, PLLC's NPI active?
- Yes — Phoenix Radiology, PLLC's NPI (1164493334) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.