P Praxis·MD
● Active Type 1 · Individual

Dustin Ferrel Tew, D.O.

Radiology·Idaho Falls, ID· NPI 1568821163 · Enumerated 2016 · 10 years on NPI
Tew is 1 of 24 radiology providers in Idaho Falls and 1 of 248 in Idaho.
NPI age
10 years
Enumerated 2016-02-11
Primary specialty
Radiology
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
10 years
↓ 9 yr below median (19 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-02Enumerated in NPPES
2016 2026

Where they practice

Practice location
2265 E Sunnyside Rd
Idaho Falls, ID 834047598
📞 2085425000
Mailing address
11929 Briarleaf Way
San Diego, CA 921285254
📞 2083394239

Additional practice locations

1 secondary location on file with NPPES.

Location 2
11929 Briarleaf Way
San Diego, CA 921285254
📞 2083394239

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    CA license #20A18766 taxonomy 2085R0202X

Practice context

Part of a multi-provider practice. 2 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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