Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Todd Burtis, MD

Individual provider Diagnostic Radiology Physician · NPI 1396765335

Dr. Michael Todd Burtis, MD is a Diagnostic Radiology in Lewiston, Idaho. Graduated from Medical College of Wisconsin in 2004, 22 years ago. Practices with Tri-State Memorial Hospital, a 34-clinician group and accepts Medicare assignment. Licensed in Hawaii and Idaho.

Years since qualifying
22
Trained at
Medical College of Wisconsin
Licensed in
HI, ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

531 4th Ave
Lewiston, ID 83501-2450
Phone: (208) 743-4393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M13009 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD 13873 (HI)

Record details

NPI number1396765335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESApril 11, 2016
Mailing address531 4th Ave, Lewiston, ID 83501-2450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2004 (22 years in practice)
Group practice Tri-State Memorial Hospital — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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