Individual provider Active NPI

Mazen E Zawaideh, MD

  • Diagnostic Radiology Physician
  • Coeur D Alene, ID
National Provider Identifier
1356740930
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-16135 Issued in ID
Practice address
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Phone
(208) 625-6300
Fax
(208) 625-6301
NPI assigned
Aug 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-16135 ID Primary
Neuroradiology Physician 2085N0700X A184519 CA
Diagnostic Radiology Physician 2085R0202X A184519 CA
Neuroradiology Physician 2085N0700X M-16135 ID

Addresses

Primary practice location

700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401

Mailing address

700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Phone (208) 625-6309

Other practice location 1

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-6360

Other practice location 2

25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mzawaideh636232@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211202000824 ID Practitioner - Diagnostic Radiology 8820300775 Reassigns benefits to 10 organizations
I20260108002082 CA Practitioner - Diagnostic Radiology 8820300775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
Benewah Community HospitalGroup PAC ID 1850200700, shared by 2 NPIs, 39 clinicians
Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians
Radiology Associates of North Idaho PAGroup PAC ID 4385635150, 32 clinicians

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

1300 E Mullan Ave
Post Falls, ID 83854-6054

1300 E Mullan Ave
Suite 1300
Post Falls, ID 83854-6057
Phone (208) 625-5630

229 S 7TH St
St Maries, ID 83861-1803
Phone (208) 245-5551

423 N 3Rd Ave
Sandpoint, ID 83864-1511

520 N 3Rd Ave
Sandpoint, ID 83864-1507
Phone (208) 263-0649

910 Monte Mira Dr
Encinitas, CA 92024-1283
Phone (208) 625-4000

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
  • Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
  • Benewah Community Hospital Hospital, Saint Maries, ID, CCN 131317

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184519CAMDNeuroradiology Physician
M-16135IDMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boundary Community Hospital CurrentSince Jan 24, 2022 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Oct 8, 2022 Accepting new patients
Shoshone Medical Center CurrentSince Jan 27, 2026 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Boundary Community Hospital CurrentSince Jan 24, 2022 Accepting new patients
Bonner General Hospital Inc. CurrentSince Jan 3, 2022 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Benewah Community Hospital Current Accepting new patients
Benewah Community Hospital Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Shoshone Medical Center CurrentSince Jan 27, 2026 Accepting new patients
Kootenai Health, Inc. CurrentSince Oct 8, 2022 Accepting new patients
Boundary Community Hospital Diagnostic Radiology Past Accepting new patients

Locations

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

700 W Ironwood Dr
Ste 175
Coeur D Alene, ID 83814
Phone (208) 625-6300

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

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

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

1300 E Mullan Ave
Post Falls, ID 83854
Phone (208) 777-1300

520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649

423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441

229 S 7th St
St Maries, ID 83861
Phone (208) 245-2591

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
  • Direct secure messaging: mzawaideh636232@direct.multicare.org

Organizations & group practices 14

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 14

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1356740930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 175",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144401",
            "telephone_number": "208-625-6309",
            "fax_number": "208-625-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 175",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144401",
            "telephone_number": "208-625-6300",
            "fax_number": "208-625-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-6360",
            "fax_number": "208-625-6361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Jacobs Gulch Rd",
            "address_purpose": "LOCATION",
            "city": "Kellogg",
            "state": "ID",
            "postal_code": "838372023",
            "country_code": "US",
            "telephone_number": "208-784-1221",
            "fax_number": "208-784-0961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAWAIDEH",
        "first_name": "MAZEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-16135",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A184519",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A184519",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ID",
            "license": "M-16135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzawaideh636232@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.