Individual provider Active NPI

Michael Sean Enslow, M.D.

  • Diagnostic Radiology Physician
  • Idaho Falls, ID
National Provider Identifier
1295094530
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-13861 Issued in ID
Practice address
3100 Channing Way
Idaho Falls, ID 83404
Phone
(208) 529-6111
NPI assigned
May 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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-13861 ID Primary

Addresses

Primary practice location

3100 Channing Way
Idaho Falls, ID 83404

Mailing address

2265 E Sunnyside Rd
Idaho Falls, ID 83404-7598
Phone (208) 542-5000

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-1111

Other practice location 2

2301 Erwin Rd
Durham, NC 27705
Phone (919) 684-1111

Other identifiers 1

IdentifierTypeStateIssuer
1295094530MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT, WY, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180618002747 ID Practitioner - Diagnostic Radiology 4880964485 Reassigns benefits to 6 organizations
I20180618003288 MT Practitioner - Diagnostic Radiology 4880964485 Reassigns benefits to 6 organizations
I20180720000888 WY Practitioner - Diagnostic Radiology 4880964485 Reassigns benefits to 8 organizations
I20251015001075 WA Practitioner - Diagnostic Radiology 4880964485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Carbon County 38 clinicians
Teton Radiology Diagnostic a Series of Teton Group Enterprise 43 clinicians
Cache Valley Vein 36 clinicians
Teton Radiology Madison LLC 40 clinicians
Medical Imaging Associates of Idaho Falls Inc 66 clinicians

Practice addresses (Care Compare)

1008 Feldspar CT
Hanna, WY 82327-5046
Phone (307) 325-6596

1100 Hollenbeck LN
Deer Lodge, MT 59722-2317
Phone (208) 522-3017

1320 Bishop Randall Dr
Lander, WY 82520-3939
Phone (208) 522-3017

2001 S Woodruff Ave
Suite 17
Idaho Falls, ID 83404-6372
Phone (208) 524-7237

310 N Sansome St
Philipsburg, MT 59858-7554
Phone (208) 715-5220

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 715-5220

425 E 4TH
Rexburg, ID 83440-5390
Phone (208) 356-4888

901 Adams St
Afton, WY 83110-9621
Phone (208) 715-5220

98 Poplar St
Blackfoot, ID 83221-1758
Phone (435) 753-2842

Hospital & facility affiliations

  • Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018
  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
  • Sagewest Health Care Hospital, Riverton, WY, CCN 530008
  • Steele Memorial Medical Center Hospital, Salmon, ID, CCN 131305

Merit-based Incentive Payment System (MIPS)

Final score
78.36 of 100Reported as group
Quality
74.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
69.87
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
86.33
Improvement activities
40
Cost
88.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-13861IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Medical Imaging Evanston CurrentSince May 1, 2024 Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
Multicare Health System Current Accepting new patients
Cache Valley Vein CurrentSince Aug 22, 2023 Accepting new patients
Teton Radiology Caldwell Diagnostic Radiology CurrentSince Nov 12, 2023 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 26, 2021 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 26, 2021 Accepting new patients
Teton Radiology Madison LLC CurrentSince Jul 1, 2018 Accepting new patients
Teton Vascular Institute of Pocatello a Series of Teton Group CurrentSince Sep 16, 2023 Accepting new patients
Teton Radiology Diagnostic a Series of Teton Group Enterprise Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Multicare Health System CurrentSince Sep 1, 2025 Accepting new patients
Multicare Health System CurrentSince Sep 1, 2025 Accepting new patients
Medical Imaging Assoc of Idaho Falls, PA Past Accepting new patients

Locations (25 of 44)

510 Roosevelt St
American Fls, ID 83211
Phone (208) 226-2327

350 N Meridian St
Blackfoot, ID 83221
Phone (208) 782-0300

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

1441 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600

1441 Parkway Dr
Rm T9
Blackfoot, ID 83221
Phone (208) 785-2600

4519 Enterprise Way
Caldwell, ID 83605
Phone (208) 454-4960

2235 E 25th St
Idaho Falls, ID 83404
Phone (208) 521-7593

2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2265 E Sunnyside Rd
Idaho Falls, ID 83404

2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100

2001 S Woodruff Ave
Ste 17
Idaho Falls, ID 83404
Phone (208) 524-7237

2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

1957 E 17th St
Idaho Falls, ID 83404
Phone (208) 523-1100

765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

150 N 200 W
Malad City, ID 83252
Phone (208) 766-2231

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032

1151 Hospital Way
Pocatello, ID 83201
Phone (208) 233-3353

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

444 Hospital Way
Ste 111
Pocatello, ID 83201

44 N 1st E
Preston, ID 83263
Phone (208) 852-0137

425 E 4th N
Rexburg, ID 83440

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1295094530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 E SUNNYSIDE RD",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047598",
            "telephone_number": "208-542-5000",
            "fax_number": "208-542-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-529-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27705",
            "country_code": "US",
            "telephone_number": "919-684-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENSLOW",
        "first_name": "MICHAEL",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-13861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295094530",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.