Intermountain Medical Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

INTERMOUNTAIN MEDICAL IMAGING LLC

Practice address

2929 E Magic View Dr
Meridian, ID 83642-3560

Phone

(208) 367-8222

NPI assigned

May 27, 2006

Last updated

Aug 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Norman Hames

Title

Ceo

Phone

(585) 218-8015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, OR, VA, GA, TX, WA, MA, NV, UT, MN, WI, AK12 enrollments

Enrollment records 12

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Intermountain Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1669423679

  7517870918

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Intermountain Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Eagle, ID
  • NPI 1326247511

  O20090130000423, O20140210001568, O20230605002415, O20250131000764, O20250911003595, O20250916000462, O20250916002778, O20250919003294, O20250925003077, O20260116002195, O20260129001083, O20260331004140

  Same enrollment
• Intermountain Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Meridian, ID
  • NPI 1598524696

  O20090130000423, O20140210001568, O20230605002415, O20250131000764, O20250911003595, O20250916000462, O20250916002778, O20250919003294, O20250925003077, O20260116002195, O20260129001083, O20260331004140

  Same enrollment
• Intermountain Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1669423679

  O20090130000423, O20140210001568, O20230605002415, O20250131000764

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 20

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.

• Jordan Christopher Soutas, DO

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1730717265

  WI

  Medicare reassignment Care Compare group NPD
• Jeffrey Collins Markham, MD

  • Diagnostic Radiology Physician
  • Corinth, TX
  • NPI 1487858569
  Medicare reassignment Care Compare group NPD
• Nicholas D. Mills, MD

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1609499656

  MN

  Medicare reassignment NPD
• Matthew Gregory Hudkins, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1356331136

  NV

  Medicare reassignment NPD
• Allison L Pearl, MD

  • Diagnostic Radiology Physician
  • Murray, UT
  • NPI 1659390086
  Medicare reassignment NPD
• Matthew Shutske

  • Diagnostic Radiology Physician
  • Silverdale, WA
  • NPI 1235171547
  Medicare reassignment NPD
• Sanford Smoot, MD

  • Diagnostic Radiology Physician
  • Lexington, MA
  • NPI 1720072697
  Medicare reassignment NPD
• Evan Narasimhan, M.D.

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1447613542

  OR

  Medicare reassignment
• Eldon Snyder, D.O.

  • Diagnostic Radiology Physician
  • Jber, AK
  • NPI 1033503990
  Medicare reassignment
• Samuel Douglass, DO

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1063801678
  NPD
• Matthew Thomas Genther, DNP, FNP

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1548784606
  NPD
• Michael D Hardesty, PA-C

  • Surgical Physician Assistant
  • Boise, ID
  • NPI 1912035999
  NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1679520415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4568",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084568",
            "telephone_number": "208-954-8175",
            "fax_number": "208-384-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 E MAGIC VIEW DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423560",
            "telephone_number": "208-367-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HAMES",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-218-8015"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.