Jason Matthew Adleberg, MD
Individual provider Active NPI Diagnostic Radiology Physician · Coeur D Alene, ID
NPI 1366071516 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1366071516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 5671280 (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
- Apr 8, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Drexel University College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kootenai Health Inc
Radiology Associates of North Idaho PA
Practice addresses (Care Compare)
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
350 W 42ND St
Apt 9H
New York, NY 10036-6951
Phone (208) 625-6309
700 W Ironwood Dr
Suite 175
Coeur D Alene, ID 83814-4401
Phone (208) 625-6300
Hospital & facility affiliations
- Kootenai Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in ID, NY, FL, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250625001940 | ID | Practitioner - Diagnostic Radiology | 6800308800 | Reassigns benefits to 10 organizations |
| I20251203001896 | NY | Practitioner - Diagnostic Radiology | 6800308800 | Reassigns benefits to 1 organization |
| I20260507003673 | FL | Practitioner - Diagnostic Radiology | 6800308800 | Reassigns benefits to 1 organization |
| I20260519002145 | OH | Practitioner - Diagnostic Radiology | 6800308800 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5671280 | ID | MD | Diagnostic Radiology Physician |
| 329045 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Radiology Associates of North Idaho, PA | Diagnostic Radiology | Current |
Accepting new patients |
| Boundary Community Hospital | Current |
Accepting new patients | |
| Bonner General Hospital, Inc. | Current |
Accepting new patients | |
| Bonner General Hospital Inc. | Current |
Accepting new patients | |
| Shoshone Medical Center | Current |
Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Shoshone Medical Center | Current |
Accepting new patients | |
| Benewah Community Hospital | Current | Accepting new patients | |
| Boundary Community Hospital | Current |
Accepting new patients | |
| Benewah Community Hospital | Diagnostic Radiology | Current |
Accepting new patients |
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Bonner General Hospital, Inc | Past | Accepting new patients | |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Past |
Accepting new patients |
Locations
6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141
700 W Ironwood Dr
Ste 100
Coeur D Alene, ID 83814
Phone (208) 664-6664
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
700 W Ironwood Dr
Ste 175
Coeur D Alene, ID 83814
Phone (208) 625-6300
25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221
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
- https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
- jadleberg840026@direct.multicare.org
- https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.223001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 329045 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 5671280 | ID | Yes |
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) 625-6300
Other practice location 1
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jadleberg840026@direct.multicare.org |
Other providers in Coeur D Alene, ID
- Lindsay Marie Adams
- Adapt Prosthetics and Orthotics LLC
- Adapt Spine & Sport
- Addus Healthcare (Idaho), Inc.
- Addus Healthcare (Idaho), Inc.
- Katie J Adrian
- Adult and Geriatric Medical Care, P.C.
- Advanced Health Center PC
- Advanced Home Health Incorporated
- Marilyn Aenchbacher
All providers in Coeur D Alene, ID · Diagnostic Radiology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.