NPI age
10 years
Enumerated 2016-02-08
● Active Type 2 · Organization
Teton Vascular Institute Of Pocatello A Series Of Teton Group
Teton Vascular Institute Of Pocatello A Series Of Teton Group is 1 of 23 radiology organizations in Idaho.
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hodel
Ceo
Last NPPES update
2026-01-05
Source: monthly bulk 2026-05
How this organization compares
Across 23 active radiology providers in Idaho.
NPI age
10 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
444 Hospital Way Bldg 100, Ste 111
Pocatello, ID 832012745
Mailing address
Po Box 30015, Dept 596
Salt Lake City, UT 841300015
Authorized official
Michael P Hodel
Ceo
📞 2085425000
Specialties
-
Radiology PrimaryA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.