1. Home
  2. Directory
  3. Idaho
  4. Chubbuck
  5. Internal Medicine
  6. NPI Profile

IDAHO KIDNEY INSTITUTE LLP
NPI 1013064690
Internal Medicine - Nephrology in Chubbuck, ID

Active since January 04, 2007
4511 ZEBE AVE, CHUBBUCK, ID 83202(208) 904-4780(208) 904-4832 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Idaho Kidney Institute Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO KIDNEY INSTITUTE LLP (NPI 1013064690) is a healthcare organization registered as a nephrology in Chubbuck, Idaho and active in the NPI registry since January 2007. The organization lists Fahim Rahim, President, as its authorized official.

NPPES Registry Identity

NPI1013064690
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameIDAHO KIDNEY INSTITUTE LLP
Location Address4511 ZEBE AVEChubbuck, ID 83202-4707
Mailing AddressPo Box 268934Oklahoma City, OK 73126-8934 · (208) 904-4780 · Fax (208) 904-4832
Phone(208) 904-4780
Fax(208) 904-4832
Organization SubpartNo
Authorized OfficialFahim RahimPresident · (208) 904-4780
Enumeration DateJanuary 4, 2007
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1013064690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4511 ZEBE AVE, Chubbuck, ID 83202
Open in Google Maps ↗

Other Identifiers 1

Medicaid807177400ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idaho Kidney Institute Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Idaho Kidney Institute LLP, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner10
Nephrology6
Internal Medicine3
Clinical Social Worker1
Medical Genetics and Genomics1

Nearest to this location (20)

See all 21
Shelly Abell, FNP
Nurse Practitioner
NPI 1528791969
4511 ZEBE AVE
Chubbuck, ID 83202
(208) 904-4780
✔ PECOS✔ Accepts MedicareSame address
Tarek Barbar, M.D.
Internal Medicine
NPI 1306371398
4511 ZEBE AVE
Chubbuck, ID 83202
(208) 904-4780
✔ PECOS✔ Accepts MedicareSame address
Aaron Clayson, AG-NP
Nurse Practitioner
NPI 1629814892
4511 ZEBE AVE
Chubbuck, ID 83202
(208) 904-4780
✔ PECOS✔ Accepts MedicareSame address
Matthew Day, APRN-CNP
Nurse Practitioner
NPI 1245017375
4511 ZEBE AVE
Chubbuck, ID 83202
(208) 904-4832
✔ PECOS✔ Accepts MedicareSame address
Michael Haderlie, MD
Nephrology
NPI 1700083813
4511 ZEBE AVE
Chubbuck, ID 83202
(208) 904-4780
✔ PECOS✔ Accepts MedicareSame address
Justin Merzlock, FNP
Nurse Practitioner
NPI 1013668847
4511 ZEBE AVE
Chubbuck, ID 83202
(208) 904-4780
✔ PECOS✔ Accepts MedicareSame address
Fahim Rahim, M.D.
Nephrology
NPI 1164579736
4511 ZEBE AVE
Chubbuck, ID 83202
(208) 904-4780
✔ PECOS✔ Accepts MedicareSame address
Naeem Rahim, M.D.
Nephrology
NPI 1235286808
4511 ZEBE AVE STE 607
Chubbuck, ID 83202
(208) 904-4780
✔ PECOS✔ Accepts MedicareSame address
Hira Siktel, MD
Internal Medicine
NPI 1477790962
4511 ZEBE AVE
Chubbuck, ID 83202
(208) 904-4780
✔ PECOS✔ Accepts MedicareSame address
Dominee Hall
Clinical Social Worker
NPI 1326483470
353 N 4TH AVE SUITE 110
Pocatello, ID 83201
(208) 233-7832
✔ PECOS4.8 mi
Maryann Smout, DNP, FNP-C
Nurse Practitioner
NPI 1780299685
1350 PARKWAY DR
Blackfoot, ID 83221
(208) 782-2410
✔ PECOS✔ Accepts Medicare19 mi
Cathy Lewis, FNP-C
Nurse Practitioner
NPI 1881221091
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 227-2575
✔ PECOS✔ Accepts Medicare44 mi
Marianne Nelson, AG-ACNP
Nurse Practitioner
NPI 1861120180
2381 E SUNNYSIDE RD
Idaho Falls, ID 83404
(208) 904-4780
✔ PECOS✔ Accepts Medicare44 mi
Juliette Hollingshead, FNP-C
Nurse Practitioner
NPI 1720628308
2985 CORTEZ AVE
Idaho Falls, ID 83404
(208) 523-3373
✔ PECOS✔ Accepts Medicare44 mi
Denise Bird, NP
Nurse Practitioner
NPI 1851470785
1970 E 17TH ST STE 111B
Idaho Falls, ID 83404
(208) 541-5257
✔ PECOS✔ Accepts Medicare45 mi
Amanda Prestigiacomo, FNP-C
Nurse Practitioner
NPI 1043747579
350 N HAVEN DR
Twin Falls, ID 83301
(208) 904-4780
✔ PECOS✔ Accepts Medicare111 mi
Amandeep Chadha, MD
Nephrology
NPI 1881635845
4345 HARRISON BLVD STE 101
Ogden, UT 84403
(385) 350-8500
✔ PECOS✔ Accepts Medicare124 mi
Jahangir Ahmed, MD
Nephrology
NPI 1124366240
4345 HARRISON BLVD STE 101
Ogden, UT 84403
(385) 350-8500
✔ PECOS✔ Accepts Medicare124 mi
Richard Sidlow, M.D.
Medical Genetics and Genomics
NPI 1689647380
1020 HITT ST
Columbia, MO 65212
(573) 882-6921
✔ PECOS1,087 mi
Khaled Janom, M.D.
Internal Medicine
NPI 1528592128
4201 ST ANTOINE ST, UHC 9C
Detroit, MI 48201
(313) 745-4832
✔ PECOS✔ Accepts Medicare1,492 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Kidney Institute LLP's NPI number?

The NPI number for Idaho Kidney Institute LLP is 1013064690. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Idaho Kidney Institute LLP located?

Idaho Kidney Institute LLP is located at 4511 Zebe Ave, Chubbuck, ID 83202. The listed phone number is (208) 904-4780.

What is Idaho Kidney Institute LLP's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Idaho Kidney Institute LLP enrolled in Medicare?

Yes. Idaho Kidney Institute LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Kidney Institute LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 5 Medicare specialties reassign their Medicare billing to Idaho Kidney Institute LLP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Nephrology (6) and Internal Medicine (3). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idaho Kidney Institute LLP accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Idaho Kidney Institute LLP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho Kidney Institute LLP was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.