Individual provider Active NPI

Daniel J Wegner, M.D.

  • Diagnostic Radiology Physician
  • Boise, ID
National Provider Identifier
1275584997
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M8601 Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-2161
Fax
(208) 367-2989
NPI assigned
May 15, 2006
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD153171 OR
Diagnostic Radiology Physician 2085R0202X M8601 ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

351 SW 9th St
Ontario, OR 97914-2639
Phone (208) 367-4320

Other identifiers 1

IdentifierTypeStateIssuer
806390500MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 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
I20050325000498 ID Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5193770436 Reassigns benefits to 3 organizations
I20110419000093 OR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5193770436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Eastern Virginia Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, shared by 4 NPIs, 672 clinicians
Gem State Radiology LLPGroup PAC ID 9335044833, 60 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

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

3025 W Cherry LN
Meridian, ID 83642-8531

3175 Pocahontas Rd
Baker City, OR 97814-1434
Phone (208) 302-2200

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

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

4400 E Flamingo Ave
Nampa, ID 83687-9203
Phone (208) 288-4620

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

927 W Myrtle St
Boise, ID 83702-7061
Phone (208) 947-0100

Hospital & facility affiliations

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M8601IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gem State Radiology LLP Diagnostic Radiology CurrentSince Aug 1, 2010 Accepting new patients
Intermountain Medical Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2010 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Intermountain Medical Imaging LLC Diagnostic Radiology Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Dec 20, 2025 Accepting new patients
Boise Advanced Imaging PLLC Diagnostic Radiology Past Accepting new patients

Locations

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

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

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

8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000

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

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

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

2855 E Magic View Dr
Meridian, ID 83642
Phone (208) 639-4900

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

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

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

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

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

4400 E Flamingo Ave
Nampa, ID 83687
Phone (208) 288-4620

4403 E Flamingo Ave
Nampa, ID 83687
Phone (208) 288-4960

4424 E Flamingo Ave
#230
Nampa, ID 83687

3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200

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: dwegner1563366@direct.trinity-health.org

Organizations & group practices 8

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

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1275584997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-2161",
            "fax_number": "208-367-2989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 SW 9th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979142639",
            "country_code": "US",
            "telephone_number": "208-367-4320",
            "fax_number": "208-367-6177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD153171",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M8601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806390500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.