EASTERN IDAHO INTENSIVIST LLC – NPI #1528656659
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Internal Medicine

EASTERN IDAHO INTENSIVIST LLC is a provider located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1528656659 to EASTERN IDAHO INTENSIVIST LLC on January 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN IDAHO INTENSIVIST LLC below.

NPI Profile for
EASTERN IDAHO INTENSIVIST LLC

NPI Number
1528656659
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTERN IDAHO INTENSIVIST LLC
Primary location
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone: (813) 940-7874 Fax:
Mailing address
PO BOX 21647
TAMPA, FL 33622-1647
Phone: Fax:
Organization Subpart
No
Authorized Official
MIT DESAI
CEO
Phone: (813) 530-5043
Updated
Certification Date
Jan 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.