Active NPI
Medical Imaging Associates of Idaho Falls, Inc
- Diagnostic Radiology Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, INC
- Practice address
- 777 Hospital Way
Pocatello, ID 83201-5175 - Phone
- (208) 529-6111
- NPI assigned
- Jun 17, 2006
- Last updated
- Mar 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Marie Vaughn
- Title
- Authorized Official
- Phone
- (629) 317-1465
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary | |
| Vascular & Interventional Radiology Physician | 2085R0204X | NU |
Addresses
Primary practice location
777 Hospital Way
Pocatello, ID 83201-5175
Mailing address
PO Box 85495
Chicago, IL 60689-5495
Phone (208) 715-5220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002435500 | Medicaid | ID | |
| CD9692 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, MT, WY, FL, IL, CO, AZ, WA, TX, UT, CA, HI, DC, PA, NC, SC, KS, OH, WI, LA, OR, GA, VA, MA, MI, MD, IN, KY, TN
Enrollment records 29
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040108000883 | ID | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 47 practitioners 1 other NPI on this enrollment |
| O20081230000032 | MT | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 42 practitioners Practice locations: Superior, MT; Billings, MT; Philipsburg, MT; Hamilton, MT; Deer Lodge, MT; Butte, MT; Anaconda, MT |
| O20111018000597 | WY | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 41 practitioners Practice locations: Thayne, WY; Riverton, WY; Evanston, WY; Lyman, WY; Lander, WY; Cokeville, WY; Afton, WY; Green River, WY |
| O20190417002655 | FL | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 7 practitioners Practice locations: Wellington, FL; St Petersburg, FL; St Pete Beach, FL; Satellite Beach, FL; Palm Beach Gardens, FL; Keystone Heights, FL; Sarasota, FL; Bradenton, FL… |
| O20190426000006 | IL | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 2 practitioners Practice locations: Oak Brook, IL; Roselle, IL |
| O20190426000616 | CO | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 3 practitioners Practice locations: Colorado Springs, CO; Denver, CO; Steamboat Springs, CO |
| O20190501002326 | AZ | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 4 practitioners Practice locations: Scottsdale, AZ; Mesa, AZ; Gilbert, AZ |
| O20190501002619 | WA | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 3 practitioners Practice locations: Liberty Lake, WA; Seattle, WA; Bellevue, WA |
| O20190501002882 | TX | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 11 practitioners Practice locations: Dripping Springs, TX; Vidor, TX; Spicewood, TX; San Antonio, TX; Royse City, TX; Rockwall, TX; Houston, TX; Ferris, TX… |
| O20190501003286 | UT | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 7 practitioners Practice locations: Logan, UT; Mapleton, UT; North Logan, UT; Park City, UT; St George, UT |
| O20190502001319 | CA | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 7 practitioners Practice locations: Fullerton, CA; San Diego, CA |
| O20190502001451 | HI | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 2 practitioners Practice locations: Honolulu, HI; Kailua, HI |
| O20190508001985 | DC | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 2 practitioners Practice locations: Great Falls, VA; MC Lean, VA; Alexandria, VA |
| O20190508002376 | PA | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 6 practitioners Practice locations: Venetia, PA; Upper Saint Clair, PA; Paoli, PA; Huntingdon, PA; Haverford, PA |
| O20190514002572 | NC | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 3 practitioners Practice locations: Chapel Hill, NC; Fayetteville, NC |
| O20190514002834 | SC | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 1 practitioner Practice locations: Sullivans Island, SC |
| O20190517000336 | KS | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 4 practitioners Practice locations: Hays, KS; Wichita, KS; Topeka, KS |
| O20190520003015 | OH | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 3 practitioners Practice locations: Delaware, OH; Granville, OH |
| O20190530002710 | WI | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 2 practitioners Practice locations: Janesville, WI; Beloit, WI |
| O20200219001844 | LA | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 1 practitioner Practice locations: Slidell, LA |
| O20200414003966 | OR | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 2 practitioners Practice locations: Portland, OR; Salem, OR |
| O20210121003044 | GA | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 4 practitioners Practice locations: Clayton, GA; Jefferson, GA; Augusta, GA |
| O20210217002283 | VA | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 3 practitioners Practice locations: Glen Allen, VA; Middleburg, VA; Leesburg, VA |
| O20210218000332 | MA | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 2 practitioners Practice locations: North Andover, MA; Weymouth, MA |
| O20221103000225 | MI | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 3 practitioners Practice locations: Northville, MI; Temperance, MI; West Bloomfield, MI |
| O20221121002865 | MD | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbia, MD |
| O20230523000998 | IN | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 1 practitioner Practice locations: Crown Point, IN |
| O20240703000881 | KY | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 2 practitioners Practice locations: Louisville, KY; Nicholasville, KY |
| O20240819002038 | TN | Part B Supplier - Clinic/Group Practice | 7618876590 |
Receives reassigned benefits from 1 practitioner Practice locations: Knoxville, TN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physician Assistant
- Pocatello, ID
- NPI 1043400484
O20040108000883
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
Member Of
Locations
823 Reed St
American Falls, ID 83211
Phone (208) 226-2822
1350 Parkway Dr
Blackfoot, ID 83221
Phone (208) 782-2410
350 N Meridian St
Blackfoot, ID 83221
Phone (208) 782-0300
98 Poplar St
Ste 3
Blackfoot, ID 83221
382 N Overland Ave
Burley, ID 83318
Phone (208) 378-7700
1670 John Adams Pkwy
Idaho Falls, ID 83401
Phone (208) 535-4555
2001 S Woodruff Ave
Ste 17
Idaho Falls, ID 83404
Phone (208) 524-7237
2265 E Sunnyside Rd
Idaho Falls, ID 83404
1451 Fore Rd
Pocatello, ID 83204
Phone (208) 236-6360
444 Hospital Way
Pocatello, ID 83201
Phone (208) 232-6214
845 W Center St
Ste 202
Pocatello, ID 83204
Phone (208) 232-6260
850 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 239-8065
921 S 8th Ave
Pocatello, ID 83209
Phone (208) 282-2330
37 S 2nd E
Ste 102
Rexburg, ID 83440
425 E 4th N
Rexburg, ID 83440
1655 Shiloh Rd
Ste E
Billings, MT 59106
Phone (406) 252-0022
2900 12th Ave N
Ste 3E
Billings, MT 59101
Phone (406) 237-5491
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Physician Assistant
- Pocatello, ID
- NPI 1043400484
Practitioners & affiliated clinicians
Practitioners 257
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.
-
- Vascular & Interventional Radiology Physician
- Pocatello, ID
- NPI 1891929519
Diagnostic Radiology, MT, WY
-
- Medical Physician Assistant
- Gooding, ID
- NPI 1003325937
Diagnostic Radiology
-
- Family Nurse Practitioner
- Idaho Falls, ID
- NPI 1639726334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1740225531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85495",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895495",
"telephone_number": "208-715-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HOSPITAL WAY",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015175",
"telephone_number": "208-529-6111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "629-317-1465"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002435500",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD9692",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.