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

Shane James McGonegle, MD

Individual provider Diagnostic Radiology Physician · NPI 1639341068

Shane James McGonegle, MD is a Diagnostic Radiology in Boise, Idaho. Graduated from University of Cincinnati College of Medicine in 2003, 23 years ago. Practices with Gem State Radiology LLP, a 42-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
23
Trained at
University of Cincinnati College of Medicine
Licensed in
ID
In the registry since
2008
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

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-2161
Fax: (208) 367-2989
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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 M10653 (ID)

Record details

NPI number1639341068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2008
Last updated in NPPESFebruary 18, 2010
Mailing addressPo Box 9649, Boise, ID 83707-4649

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Gem State Radiology Llp — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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