Innovative Medical Imaging, PLLC
NPI 1962015776 · Diagnostic Radiology Physician · Twin Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Medical Imaging, PLLC is a Diagnostic Radiology Physician organization in Twin Falls, ID (NPI 1962015776).
Provider details
- NPI number
- 1962015776
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephan Thiede, Authorized Official(541) 334-7550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2020-08-31
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Frequently asked questions
- What is Innovative Medical Imaging, PLLC's NPI number?
- Innovative Medical Imaging, PLLC's National Provider Identifier (NPI) is 1962015776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Medical Imaging, PLLC?
- Innovative Medical Imaging, PLLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Medical Imaging, PLLC located?
- Innovative Medical Imaging, PLLC's practice location on file with NPPES is 512 Pole Line Rd Ste 1, Twin Falls, ID 83301-6367.
- What is Innovative Medical Imaging, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Medical Imaging, PLLC is (208) 735-5555.
- Does Innovative Medical Imaging, PLLC accept Medicare?
- Innovative Medical Imaging, 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 Innovative Medical Imaging, PLLC?
- The authorized official listed on Innovative Medical Imaging, PLLC's NPPES record is Stephan Thiede, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Medical Imaging, PLLC's NPI active?
- Yes — Innovative Medical Imaging, PLLC's NPI (1962015776) is active in the NPPES registry as of the last update on 2024-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.