NPIMap

Individual provider Active NPI

Ryan Eldon Tade, M.D.

  • Diagnostic Radiology Physician
  • Twin Falls, ID
National Provider Identifier
1306266515
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-17488 Issued in ID
Practice address
801 Pole Line Rd W
Twin Falls, ID 83301-5799
Phone
(208) 814-1500
NPI assigned
Apr 27, 2014
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X MD61039712 WA
Diagnostic Radiology Physician 2085R0202X 61039712 WA
Diagnostic Radiology Physician 2085R0202X M-17488 ID Primary

Addresses

Primary practice location

801 Pole Line Rd W
Twin Falls, ID 83301-5799

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 706-2333

Other practice location 1

700 Lincoln St Ste 100
Kelso, WA 98626-1062
Phone (360) 425-5131

Other practice location 2

910 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-0200

Other practice location 3

1200 Hilyard St Ste 330
Eugene, OR 97401-8110
Phone (541) 302-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200528002255 OR Practitioner - Diagnostic Radiology 9133422868 Reassigns benefits to 7 organizations
I20240731002874 WA Practitioner - Diagnostic Radiology 9133422868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Medical Imaging PLLCGroup PAC ID 1951711050, 23 clinicians
Oregon Imaging Centers LLCGroup PAC ID 7416859749, 27 clinicians
Radiology Associates PCGroup PAC ID 2567364847, 25 clinicians
PeacehealthGroup PAC ID 5092624296, 22 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Suite 330
Eugene, OR 97401-8110
Phone (775) 283-3130

1255 Hilyard St
Eugene, OR 97401-3718
Phone (541) 686-7300

910 S Scheube Rd
Centralia, WA 98531
Phone (360) 736-0200

940 E 5TH St
Coquille, OR 97423-1666
Phone (541) 396-3101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.45 of 100Reported as group
Quality
92.91
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61039712WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Imaging Centers, L.L.C. Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Coquille Valley Hospital District CurrentSince Jun 13, 2023 Accepting new patients
Bay Area Hospital District CurrentSince Apr 2, 2021 Accepting new patients
Bay Area Hospital District Single Specialty CurrentSince Apr 2, 2021 Accepting new patients
Peacehealth CurrentSince Jul 1, 2024 Accepting new patients
Radiology Associates, PC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Radiology Associates PC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Coquille Valley Hospital District Single Specialty CurrentSince Jun 13, 2023 Accepting new patients
Renew, LLC Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Peacehealth CurrentSince Jul 1, 2024 Accepting new patients
Mid Rogue Imaging Center CurrentSince Jun 1, 2024 Accepting new patients
Innovative Medical Imaging, PLLC Single Specialty CurrentSince Oct 2, 2023 Accepting new patients
Peacehealth Single Specialty Current Accepting new patients
Peacehealth Single Specialty Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

512 Pole Line Rd
Ste 1
Twin Falls, ID 83301
Phone (208) 735-5555

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

10 Coburg Rd
#220
Eugene, OR 97401
Phone (541) 681-8586

1200 Hilyard St
Ste 330
Eugene, OR 97401
Phone (541) 302-7771

1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300

1619 NW Hawthorne Ave
Ste 102
Grants Pass, OR 97526
Phone (541) 471-6033

3377 Riverbend Dr
Ste 150
Springfield, OR 97477
Phone (541) 222-6000

445 Harlow Rd
Ste 200
Springfield, OR 97477
Phone (541) 302-7771

910 S Scheuber Rd
Centralia, WA 98531
Phone (360) 736-0200

700 Lincoln St
Ste 100
Kelso, WA 98626
Phone (360) 425-5131

5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/
  • Direct secure messaging: rtade062@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 7

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": "1398556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1306266515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-706-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POLE LINE RD W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015799",
            "telephone_number": "208-814-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Lincoln St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kelso",
            "state": "WA",
            "postal_code": "986261062",
            "country_code": "US",
            "telephone_number": "360-425-5131",
            "fax_number": "360-425-5509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 S Scheuber Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319027",
            "country_code": "US",
            "telephone_number": "360-736-0200",
            "fax_number": "360-736-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Hilyard St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018110",
            "country_code": "US",
            "telephone_number": "541-302-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADE",
        "first_name": "RYAN",
        "middle_name": "ELDON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-27",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61039712",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "61039712",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-17488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.