Organization Active NPI

Teton Radiology Caldwell

  • Diagnostic Radiology Physician
  • Caldwell, ID
National Provider Identifier
1336920420
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TETON RADIOLOGY CALDWELL
Doing business as
Teton Radiology Caldwell
Practice address
4519 Enterprise Way
Caldwell, ID 83605-8055
Phone
(208) 454-0742
Fax
(208) 455-7538
NPI assigned
Oct 13, 2023
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. John J Strobel, MDNPI 1497834980
Title
Owner
Phone
(208) 542-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU

Addresses

Primary practice location

4519 Enterprise Way
Caldwell, ID 83605-8055

Mailing address

PO Box 30015
Dept 598
Salt Lake City, UT 84130-0015
Phone (800) 475-6236

Other names 1

  • Teton Radiology Caldwell Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, MT, ID, TX, NV6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20231227002126 UT Part B Supplier - Clinic/Group Practice 2365892742 Receives reassigned benefits from 20 practitioners
Practice locations: Lehi, UT; Logan, UT; Park City, UT; Providence, UT
O20240116000144 WY Part B Supplier - Clinic/Group Practice 2365892742 Receives reassigned benefits from 29 practitioners
Practice locations: Rawlins, WY; Rock Springs, WY; Riverton, WY; Lander, WY; Afton, WY
O20240131000846 MT Part B Supplier - Clinic/Group Practice 2365892742 Receives reassigned benefits from 32 practitioners
Practice locations: Deer Lodge, MT
O20240320000965 ID Part B Supplier - Clinic/Group Practice 2365892742 Receives reassigned benefits from 41 practitioners
Practice locations: Soda Springs, ID; Sandpoint, ID; Salmon, ID; Rupert, ID; Rexburg, ID; Preston, ID; Pocatello, ID; Montpelier, ID…
O20250609000856 TX Part B Supplier - Clinic/Group Practice 2365892742 Receives reassigned benefits from 1 practitioner
Practice locations: Vidor, TX
O20260130003147 NV Part B Supplier - Clinic/Group Practice 2365892742 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV; Henderson, NV

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

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

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

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1336920420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30015",
            "address_2": "DEPT 598",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300015",
            "telephone_number": "800-475-6236",
            "fax_number": "706-596-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 ENTERPRISE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836058055",
            "telephone_number": "208-454-0742",
            "fax_number": "208-455-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON RADIOLOGY CALDWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "STROBEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-542-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teton Radiology Caldwell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teton Radiology Caldwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.