Individual provider Active NPI

Jayson Lavie, M.D.

  • Diagnostic Radiology Physician
  • Boise, ID
National Provider Identifier
1689087009
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-17334 Issued in ID
Practice address
1072 N Liberty St Ste 200
Boise, ID 83704-8963
Phone
(208) 302-4100
Fax
(208) 302-4135
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 M-17334 ID Primary

Addresses

Primary practice location

1072 N Liberty St Ste 200
Boise, ID 83704-8963

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

608 Homedale St
New Orleans, LA 70124-1824
Phone (615) 419-2471

Other practice location 2

4424 E Flamingo Ave Ste 250
Nampa, ID 83687-9289
Phone (208) 302-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230717003381 ID Practitioner - Neurology 5991924227 Reassigns benefits to 12 organizations
I20260529004056 CA Practitioner - Diagnostic Radiology 5991924227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Louisiana State University School of Medicine in New Orleans, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1072 N Liberty St
Boise, ID 83704-8708

3025 W Cherry LN
Meridian, ID 83642-8531

3254 E Rivernest LN
Boise, ID 83706-6928
Phone (877) 785-0009

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052
  • St. Alphonsus Medical Center - Baker City Hospital, Baker City, OR, CCN 381315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Feb 4, 2026 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Feb 4, 2026 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Saint Alphonsus Specialty Services Inc PastSince Jul 9, 2023 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology Past Accepting new patients

Locations

927 W Myrtle St
Boise, ID 83702
Phone (208) 367-7510

1072 N Liberty St
Ste 200
Boise, ID 83704
Phone (208) 302-4100

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

4424 E Flamingo Ave
Ste 250
Nampa, ID 83687
Phone (208) 302-4000

Interoperability endpoints

  • Direct secure messaging: jlavie2809812@direct.trinity-health.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 and National Provider Directory roles.

View all 18

Hospital & facility affiliations 8

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1689087009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-302-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 N LIBERTY ST STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048963",
            "telephone_number": "208-302-4100",
            "fax_number": "208-302-4135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Homedale St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701241824",
            "country_code": "US",
            "telephone_number": "615-419-2471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4424 E Flamingo Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836879289",
            "country_code": "US",
            "telephone_number": "208-302-4000",
            "fax_number": "208-302-4025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIE",
        "first_name": "JAYSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "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": "M-17334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.