Individual provider Active NPI

Einav Shochat, MD

  • Diagnostic Radiology Physician
  • Boise, ID
National Provider Identifier
1316157332
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M11316 Issued in ID
Practice address
190 E Bannock
Boise, ID 83712
Phone
(208) 381-2094
Fax
(208) 381-1791
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD151138 OR
Diagnostic Radiology Physician 2085R0202X M-11316 ID
Diagnostic Radiology Physician 2085R0202X M11316 ID Primary

Addresses

Primary practice location

190 E Bannock
Boise, ID 83712

Mailing address

115 W Main Street
Ste 202
Boise, ID 83702
Phone (208) 433-9466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000862 ID Practitioner - Diagnostic Radiology 2567656150 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boise Radiology Group PLLCGroup PAC ID 9638153257, 64 clinicians
North Canyon Medical Center IncGroup PAC ID 0941371439, 73 clinicians
Weiser Valley Hospital DistrictGroup PAC ID 5294704276, 60 clinicians

Practice addresses (Care Compare)

1000 E Park Blvd
Boise, ID 83712-7791
Phone (208) 381-2094

1210 NW 16TH St
Fruitland, ID 83619-2202
Phone (208) 381-2094

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2094

267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4433

600 N Robbins Rd
Boise, ID 83702-4565
Phone (208) 489-4940

645 E 5TH St
Weiser, ID 83672-2202
Phone (208) 549-0370

701 E Parkcenter Blvd
Boise, ID 83706-6528
Phone (208) 381-2094

895 N 6TH St E
Mountain Home, ID 83647-2207
Phone (208) 381-2094

9850 St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2017

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.94 of 100Reported as group
Quality
92.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-11316IDMDDiagnostic Radiology Physician
M11316IDMDDiagnostic Radiology Physician
MD151138ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weiser Valley Hospital District Diagnostic Radiology CurrentSince Sep 15, 2012 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Aug 18, 2014 Accepting new patients
Weiser Valley Hospital District CurrentSince Sep 15, 2012 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Aug 18, 2014 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Mar 1, 2012 Accepting new patients
Boise Radiology Group PLLC Diagnostic Radiology CurrentSince Aug 1, 2011 Accepting new patients
North Canyon Medical Center Inc. Current Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

703 S Americana Blvd
Boise, ID 83702
Phone (208) 706-6375

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

100 E Idaho St
Boise, ID 83712
Phone (208) 343-3223

701 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 381-6400

1000 E Park Blvd
Boise, ID 83712
Phone (208) 381-4100

600 N Robbins Rd
Boise, ID 83702
Phone (208) 489-4444

115 W Main St
Ste 202
Boise, ID 83702
Phone (208) 433-9466

3101 E State St
Eagle, ID 83616
Phone (208) 473-3100

1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

3140 W Milano Dr
Ste 150
Meridian, ID 83646
Phone (208) 887-4775

3277 E Louise Dr
Ste 100
Meridian, ID 83642
Phone (208) 706-5217

520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000

895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661

9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

Organizations & group practices 7

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 8

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1316157332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MAIN STREET",
            "address_2": "STE 202",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "208-433-9466",
            "fax_number": "208-433-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83712",
            "telephone_number": "208-381-2094",
            "fax_number": "208-381-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCHAT",
        "first_name": "EINAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD151138",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-11316",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M11316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.