SHANE JAMES MCGONEGLE M.D. NPI 1639341068

NPI Information

  • NPI: 1639341068
  • Provider Name: SHANE JAMES MCGONEGLE, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1055 N CURTIS RD
    BOISE, ID
    ZIP 83706
  • Phone: (208) 367-2161

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NPI Details

Shane James Mcgonegle, M.D. is a diagnostic radiology radiology in Boise, ID with 23 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Shane James Mcgonegle, M.D. NPI is 1639341068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

1055 N CURTIS RD
BOISE, ID
ZIP 83706-309
Phone: (208) 367-2161
Fax: (208) 367-2989

The NPI 1639341068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of arm joint with contrast (HCPCS:73222)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • X-ray of shoulder, 1 view (HCPCS:73020)
  • Mri scan of arm joint with contrast (HCPCS:73222)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Injection of contrast for imaging of shoulder joint (HCPCS:23350)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)

The enumeration date for this NPI number is 3/26/2008 and was last updated on 2/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyM10653IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1808373900MEDICAIDIDAHO
21196037MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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