Individual provider Active NPI

Jason Matthew Adleberg, MD

  • Diagnostic Radiology Physician
  • Coeur d'Alene, ID
National Provider Identifier
1366071516
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5671280 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
Apr 8, 2020
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address jadleberg840026@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, NY, FL, OH4 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 4

Enrollment IDStateProvider typePAC IDDetails
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

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
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
Radiology Associates of North Idaho PAGroup PAC ID 4385635150, 32 clinicians

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

LicenseStateTypeSpecialty
5671280IDMDDiagnostic Radiology Physician
329045NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonner General Hospital, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Shoshone Medical Center CurrentSince Jan 27, 2026 Accepting new patients
Bonner General Hospital Inc. CurrentSince Jul 1, 2025 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Benewah Community Hospital Current Accepting new patients
Shoshone Medical Center CurrentSince Jan 27, 2026 Accepting new patients
Benewah Community Hospital Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Kootenai Health, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Boundary Community Hospital CurrentSince Jul 1, 2025 Accepting new patients
Boundary Community Hospital CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of North Idaho, PA Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Bonner General Hospital, Inc. Past Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology PastSince Sep 22, 2025 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.223001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.