Individual provider Active NPI

Cyle Goodman, M.D.

  • Diagnostic Radiology Physician
  • Boise, ID
National Provider Identifier
1265660443
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-13010 Issued in ID
Practice address
1055 N Curtis Road
Boise, ID 83706
Phone
(208) 367-2161
Fax
(208) 367-2989
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-13010 ID Primary

Addresses

Primary practice location

1055 N Curtis Road
Boise, ID 83706

Mailing address

PO Box 9649
Boise, ID 83707
Phone (208) 472-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150909003070 OR Practitioner - Diagnostic Radiology 9335364603 Reassigns benefits to 1 organization
I20150909003258 ID Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9335364603 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem State Radiology LLPGroup PAC ID 9335044833, 60 clinicians
West Valley Medical Associates IncGroup PAC ID 9931467289, 28 clinicians
Intermountain Medical Imaging LLCGroup PAC ID 7517870918, 35 clinicians

Practice addresses (Care Compare)

1270 E Tanya LN
Meridian, ID 83642-6960
Phone (208) 954-8070

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 455-3917

2929 E Magic View Dr
Meridian, ID 83642-3560
Phone (208) 954-8127

323 E Riverside Dr
Suite 108
Eagle, ID 83616-6865
Phone (208) 954-8123

3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (541) 523-8137

875 S Vanguard Way
Suite 100
Meridian, ID 83642-8541
Phone (208) 954-8100

Hospital & facility affiliations

  • West Valley Medical Center Hospital, Caldwell, ID, CCN 130014
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • Treasure Valley Hospital Hospital, Boise, ID, CCN 130063
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
100
Improvement activities
40
Cost
52.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-13010IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gem State Radiology LLP Diagnostic Radiology CurrentSince Sep 1, 2015 Accepting new patients
West Valley Medical Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

927 W Myrtle St
Boise, ID 83702
Phone (208) 367-7510

6200 W Emerald St
Boise, ID 83704
Phone (208) 367-3336

877 W Main St
Ste 603
Boise, ID 83702
Phone (208) 367-2161

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

323 E Riverside Dr
Ste 108
Eagle, ID 83616
Phone (208) 367-5700

2929 E Magic View Dr
Meridian, ID 83642
Phone (208) 367-8222

4424 E Flamingo Ave
#230
Nampa, ID 83687

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

Interoperability endpoints

  • Direct secure messaging: cgoodman1564226@direct.trinity-health.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1265660443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9649",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83707",
            "telephone_number": "208-472-8100",
            "fax_number": "208-472-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS ROAD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-367-2161",
            "fax_number": "208-367-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "CYLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-13010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.