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

Shane K Ball, MD

Individual provider Diagnostic Radiology Physician · NPI 1679500557

Shane K Ball, MD is a Diagnostic Radiology in Boise, Idaho. Graduated from Loma Linda University School of Medicine in 1999, 27 years ago. Practices with Boise Radiology Group PLLC, a 63-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
27
Trained at
Loma Linda University School of Medicine
Licensed in
ID
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

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2094
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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 M9350 (ID)

Record details

NPI number1679500557
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 9696, Boise, ID 83707-4696

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Boise Radiology Group Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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