NPIMap

Intermountain Medical Imaging LLC

A Medicare group practice based in Boise, ID: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7517870918), with 46 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7517870918The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AK, GA, ID, MA, MN, NV, OR, TX, UT, VA, WA, WI
Enrollments
12
Group size
35 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 17 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20140210001568 OR Part B Supplier - Clinic/Group Practice 1679520415
O20090130000423 ID Part B Supplier - Clinic/Group Practice 1669423679
O20260116002195 MN Part B Supplier - Clinic/Group Practice 1679520415
O20260129001083 WI Part B Supplier - Clinic/Group Practice 1679520415
O20250919003294 NV Part B Supplier - Clinic/Group Practice 1679520415
O20250925003077 UT Part B Supplier - Clinic/Group Practice 1679520415
O20250916000462 WA Part B Supplier - Clinic/Group Practice 1679520415
O20250916002778 MA Part B Supplier - Clinic/Group Practice 1679520415
O20250911003595 TX Part B Supplier - Clinic/Group Practice 1679520415
O20260331004140 AK Part B Supplier - Clinic/Group Practice 1679520415
O20250131000764 GA Part B Supplier - Clinic/Group Practice 1669423679
O20230605002415 VA Part B Supplier - Clinic/Group Practice 1669423679

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
100 of 100Reported as group, on the record of 30 clinicians in this group
Quality
100
Improvement activities
40

Clinicians 46

Clinicians who reassign their Medicare benefits to this group (46) or whom Care Compare lists as members (35).

Sources for this page