P Praxis·MD
● Active Type 1 · Individual

DR. Michael T. Callaghan, M.D.

Radiology·Pocatello, ID· NPI 1316978539 · Enumerated 2006 · 19 years on NPI
Callaghan is 1 of 5 radiology providers in Pocatello and 1 of 29 in Idaho.
NPI age
19 years
Enumerated 2006-07-05
Primary specialty
Radiology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-02-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 29 active radiology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
37% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
500 S 11th Ave, Suite 101
Pocatello, ID 832014835
📞 2082391750fax 2082391771
Mailing address
Po Box 4908
Pocatello, ID 832054908
📞 2082361600fax 2082366695

Specialties

  • Radiology Primary
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    ID license #M-7264 taxonomy 2085R0001X

Identifiers

TypeValueNotes
05 (ID) 805081800
01 (ID) J4779 BLUE CROSS OF IDAHO

Practice context

Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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