Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mark Idstrom, MD

Individual provider Diagnostic Radiology Physician · NPI 1639264443

Mark Idstrom, MD practises Diagnostic Radiology in Shawnee Mission, Kansas. Graduated from University of Minnesota Medical School in 1975, 51 years ago. Practices with The Curators of the University of Missouri, a 1,093-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
51
Trained at
University of Minnesota Medical School
Licensed in
MO
In the registry since
2006
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

9100 W 74th St
Shawnee Mission, KS 66204-4004 Not confirmed with CMS for 19 years — call before visiting
Phone: (913) 676-2310
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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 R2J97 (MO)

Record details

NPI number1639264443
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1975 (51 years in practice)
Group practice The Curators Of The University Of Missouri — 1093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients699
Services billed 885 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at The Curators of the University of Missouri

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1093 clinicians in the practice; 12 are shown here.

Other providers in Shawnee Mission