Active NPI
Michael Sean Enslow, M.D.
- Diagnostic Radiology Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M-13861
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295094530 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, MT, WY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CountyTeton Radiology Diagnostic a Series of Teton Group EnterpriseCache Valley VeinTeton Radiology Madison LLCMedical Imaging Associates of Idaho Falls Inc
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
- Mountain View Hospital
- Portneuf Medical Center
- Sagewest Health Care
- Steele Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.36 of 100
- Quality
- 74.54
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.39 of 100
- Quality
- 69.87
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| M-13861 | ID | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevation Medical Imaging Evanston | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Family Medicine | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Cache Valley Vein | Current | Accepting new patients | |
| Teton Radiology Caldwell | Diagnostic Radiology | Current | Accepting new patients |
| Medical Imaging Associates of Idaho Falls, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Teton Radiology Madison LLC | Current | Accepting new patients | |
| Teton Vascular Institute of Pocatello a Series of Teton Group | Current | Accepting new patients | |
| Teton Radiology Diagnostic a Series of Teton Group Enterprise | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | 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.
-
- Diagnostic Radiology Physician
- Pocatello, ID
- NPI 1740225531
Diagnostic Radiology, ID, MT, WY
-
- Body Imaging Physician
- Idaho Falls, ID
- NPI 1013085604
Diagnostic Radiology, ID, MT, WY
-
- Vascular & Interventional Radiology Physician
- Providence, UT
- NPI 1831662311
ID, MT, WY
-
- Family Medicine Physician
- Rawlins, WY
- NPI 1508900341
Family Medicine, WY
-
- Diagnostic Radiology Physician
- Caldwell, ID
- NPI 1336920420
Diagnostic Radiology, ID, MT, WY
-
- Vascular & Interventional Radiology Physician
- Pocatello, ID
- NPI 1508224379
ID, MT, WY
-
- Medicare Defined Swing Bed Hospital Unit
- Rawlins, WY
- NPI 1891006839
-
- Radiology Clinic/Center
- Evanston, WY
- NPI 1184242521
-
- Home Health Agency
- Rawlins, WY
- NPI 1295896496
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.