NPIMap

Individual provider Active NPI

John Weldon Eddy

  • Diagnostic Radiology Physician
  • Kansas City, KS
National Provider Identifier
1649809252
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7871750 Issued in ID
Practice address
3901 Rainbow Blvd
Ms 2027
Kansas City, KS 66160
Phone
(913) 588-6050
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 7871750 ID Primary

Addresses

Primary practice location

3901 Rainbow Blvd
Ms 2027
Kansas City, KS 66160

Mailing address

3901 Rainbow Blvd
Ms 2027
Kansas City, KS 66160
Phone (913) 588-6050

Other practice location 1

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250718003684 KS Practitioner - Diagnostic Radiology 0244654390 Reassigns benefits to 2 organizations
I20251013001263 ID Practitioner - Diagnostic Radiology 0244654390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boise Radiology Group PLLCGroup PAC ID 9638153257, 64 clinicians

Practice addresses (Care Compare)

7811 W 100TH Ter
Overland Park, KS 66212-2448
Phone (208) 381-2094

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weiser Valley Hospital District CurrentSince Dec 7, 2025 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Aug 1, 2025 Accepting new patients
Weiser Valley Hospital District Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Boise Radiology Group PLLC Diagnostic Radiology CurrentSince Jun 9, 2025 Accepting new patients
Weiser Valley Hospital District CurrentSince Aug 1, 2025 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1649809252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MS 2027",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MS 2027",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126241",
            "country_code": "US",
            "telephone_number": "208-381-2094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDDY",
        "first_name": "JOHN",
        "middle_name": "WELDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "7871750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.