Grand Teton Child Neurology
NPI 1639322258 · Neurology with Special Qualifications in Child Neurology Physician · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Teton Child Neurology is a Neurology with Special Qualifications in Child Neurology Physician organization in Idaho Falls, ID (NPI 1639322258).
Provider details
- NPI number
- 1639322258
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Castellanos, Neurologist(208) 529-4300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-10-28
- Last updated
- 2021-08-17
- Certified
- 2021-08-17
Frequently asked questions
- What is Grand Teton Child Neurology's NPI number?
- Grand Teton Child Neurology's National Provider Identifier (NPI) is 1639322258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Teton Child Neurology?
- Grand Teton Child Neurology is classified in the NPPES registry as Neurology with Special Qualifications in Child Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Teton Child Neurology located?
- Grand Teton Child Neurology's practice location on file with NPPES is 2225 Teton Plz Ste B, Idaho Falls, ID 83404-6494.
- What is Grand Teton Child Neurology's phone number?
- The practice phone number listed in the NPPES registry for Grand Teton Child Neurology is (208) 529-4300.
- Does Grand Teton Child Neurology accept Medicare?
- Grand Teton Child Neurology 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 Grand Teton Child Neurology?
- The authorized official listed on Grand Teton Child Neurology's NPPES record is Peter Castellanos, Neurologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Teton Child Neurology's NPI active?
- Yes — Grand Teton Child Neurology's NPI (1639322258) is active in the NPPES registry as of the last update on 2021-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.