NPIMap

Organization Active NPI

Cache Valley Vein

  • Vascular & Interventional Radiology Physician
  • Providence, UT
National Provider Identifier
1831662311
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
CACHE VALLEY VEIN
Practice address
565 W 465 N Ste 130
Providence, UT 84332-4802
Phone
(435) 753-2842
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Dr. John J Strobel, MDNPI 1497834980
Title
President
Phone
(208) 542-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

565 W 465 N Ste 130
Providence, UT 84332-4802

Mailing address

PO Box 30015
Dept 597
Salt Lake City, UT 84130-0015
Phone (800) 475-6236

Other identifiers 1

IdentifierTypeStateIssuer
1831662311MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MT, WY, ID, TX, FL, GA, OH, AZ, CA, PA11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
O20190620003088 UT Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 27 practitioners
Practice locations: Lehi, UT; Providence, UT; North Logan, UT; Park City, UT
O20231104000381 MT Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 31 practitioners
Practice locations: Deer Lodge, MT
O20231104000410 WY Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 31 practitioners
Practice locations: Afton, WY; Lander, WY; Rawlins, WY; Riverton, WY; Rock Springs, WY
O20231106001459 ID Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 37 practitioners
Practice locations: Montpelier, ID; Pocatello, ID; Preston, ID; Rexburg, ID; Rupert, ID; Salmon, ID; Soda Springs, ID; Kellogg, ID…
O20250527001150 TX Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 2 practitioners
Practice locations: Heath, TX; Vidor, TX
O20250806002359 FL Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL
O20250814002301 GA Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 1 practitioner
Practice locations: Jefferson, GA
O20250819003488 OH Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 2 practitioners
Practice locations: Powell, OH; Delaware, OH
O20250822002364 AZ Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 3 practitioners
Practice locations: Mesa, AZ; Scottsdale, AZ
O20251016001831 CA Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 1 practitioner
Practice locations: Encinitas, CA
O20251106000307 PA Part B Supplier - Clinic/Group Practice 5294069563 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

150 N 200 W
Malad City, ID 83252
Phone (208) 766-2231

103 S Daisy St
Salmon, ID 83467
Phone (208) 756-6212

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1831662311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30015",
            "address_2": "DEPT 597",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300015",
            "telephone_number": "800-475-6236",
            "fax_number": "706-596-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W 465 N STE 130",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843324802",
            "telephone_number": "435-753-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE VALLEY VEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "STROBEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-542-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831662311",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.