Organization Active NPI

Medical Imaging Associates of Idaho Falls, Inc

  • Diagnostic Radiology Physician
  • Pocatello, ID
National Provider Identifier
1740225531
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002435500MedicaidID
CD9692OtherRAILROAD 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, TN29 enrollments

Enrollment records 29

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

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.

View all 257

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.

Verify at the official NPI Registry.