NPIMap

Organization Active NPI

Northwest Imaging, PC

  • Diagnostic Radiology Physician
  • Kalispell, MT
National Provider Identifier
1386713832
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTHWEST IMAGING, PC
Practice address
320 Sunnyview LN
Kalispell, MT 59901-3129
Phone
(406) 751-7519
Fax
(406) 751-7529
NPI assigned
Nov 7, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Mr. Tyler W Weber
Title
Chief Administrative Officer
Phone
(406) 751-7519

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

320 Sunnyview LN
Kalispell, MT 59901-3129

Mailing address

PO Box 9110
Kalispell, MT 59904-2110
Phone (406) 751-7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309000627 MT Part B Supplier - Clinic/Group Practice 8426969155 Receives reassigned benefits from 22 practitioners
Practice locations: Polson, MT; Whitefish, MT; Shelby, MT; Libby, MT; Kalispell, MT; Conrad, MT; Cut Bank, MT; Eureka, MT
O20210811003193 NM Part B Supplier - Clinic/Group Practice 8426969155 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1386713832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9110",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599042110",
            "telephone_number": "406-751-7519",
            "fax_number": "406-751-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129",
            "telephone_number": "406-751-7519",
            "fax_number": "406-751-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "406-751-7519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.