Active NPI
Jason Matthew Adleberg, MD
- Diagnostic Radiology Physician
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5671280
- 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
- Last updated
- Mar 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 329045 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 5671280 | ID | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jadleberg840026@direct.multicare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, NY, FL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Drexel University College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 |
|---|---|---|---|
| Bonner General Hospital, Inc. | Current | Accepting new patients | |
| Shoshone Medical Center | Current | Accepting new patients | |
| Bonner General Hospital Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Benewah Community Hospital | Current | Accepting new patients | |
| Shoshone Medical Center | Current | Accepting new patients | |
| Benewah Community Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Radiology Associates of North Idaho, PA | Diagnostic Radiology | 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
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
700 W Ironwood Dr
Ste 100
Coeur D Alene, ID 83814
Phone (208) 664-6664
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
423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441
520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649
229 S 7th St
St Maries, ID 83861
Phone (208) 245-2591
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.223001
- https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
- https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
- jadleberg840026@direct.multicare.org
Organizations & group practices 18
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.
-
- Psychiatry Physician
- Coeur d'Alene, ID
- NPI 1174661151
-
dba Kootenai Imaging
- Radiology Clinic/Center
- Coeur d'Alene, ID
- NPI 1851384416
Diagnostic Radiology, NY
-
dba St Maries Family Medicine
- Rural Health Clinic/Center
- St Maries, ID
- NPI 1386632180
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
Diagnostic Radiology
-
dba Bonner General Health
- Critical Access Hospital
- Sandpoint, ID
- NPI 1154563963
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1508856667
-
- Diagnostic Radiology Physician
- Naples, FL
- NPI 1003406711
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1588654610
-
dba Proscan Womens Imaging Center
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1013907120
-
dba Bonner General Family and Internal Medicine
- Family Medicine Physician
- Sandpoint, ID
- NPI 1033737887
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur d'Alene, ID
- NPI 1992798409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1366071516",
"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": "208-625-6300",
"fax_number": "208-625-6301"
},
{
"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": "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": "ADLEBERG",
"first_name": "JASON",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-08",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "329045",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "5671280",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jadleberg840026@direct.multicare.org",
"affiliation": "N",
"address_1": "700 W Ironwood Dr Ste 175",
"city": "Coeur D Alene",
"state": "ID",
"country_code": "US",
"postal_code": "838144401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coeur d'Alene, ID
- Lindsay Marie Adams, ARNP
- Adapt Prosthetics and Orthotics LLC
- Adapt Spine & Sport
- Addus Healthcare (Idaho), Inc. (Addus HomeCare)
- Addus Healthcare (Idaho), Inc. (A Full Life Health Care Inc.)
- Katie J Adrian, RD
- Adult and Geriatric Medical Care, P.C.
- Advanced Health Center PC
- Advanced Home Health Incorporated
- Marilyn Aenchbacher
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.