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KIMBERLY R TANABE M.D.
NPI 1194773598
Internal Medicine in Eagle, ID

Active since May 05, 2006PECOS Enrolled
3101 E STATE ST, SUITE 2120, EAGLE, ID 83616(208) 473-3275(208) 473-3276 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly R Tanabe M.d. NPPES

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

KIMBERLY R TANABE M.D. (NPI 1194773598) is an individual internal medicine provider in Eagle, Idaho, licensed in Idaho (M5831) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194773598
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKIMBERLY R TANABECredential: M.D.
Location Address3101 E STATE ST, SUITE 2120Eagle, ID 83616-6232
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 706-8000 · Fax (208) 706-8001
Phone(208) 473-3275
Fax(208) 473-3276
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 21, 2012
✔ NPI 1194773598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · M5831
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3101 E STATE ST, Eagle, ID 83616
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Other Identifiers 1

Medicare PIN20000418ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly R Tanabe M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN ARI SATTERFIELD MD, PHD
Internal Medicine (Cardiovascular Disease)
3101 E STATE ST
EAGLE, ID 83616
Ada County (208) 322-1680
CHRISTOPHER ALAN ANTHONY NICHOLAS
Nurse Practitioner (Family)
3101 E STATE ST
EAGLE, ID 83616
Ada County (208) 473-3100
MR. SEAN MICHAEL LAWSON
Physician Assistant
3101 E STATE ST
EAGLE, ID 83616
Ada County (208) 473-3100
DR. COLEEN D HULBERT MD
Family Medicine
3101 E STATE ST, STE 1100
EAGLE, ID 83616
Ada County (208) 473-3500
MITCHELL GARRETT BROWN FNP
Nurse Practitioner (Family)
3101 E STATE ST
EAGLE, ID 83616
Ada County (208) 473-3100
SUSANNE L STICKLER MD
Internal Medicine
3101 E STATE ST, SUITE 2120
EAGLE, ID 83616
Ada County (208) 706-8000
KRISTINA COFFEY PA
Physician Assistant
3101 E STATE ST
EAGLE, ID 83616
Ada County (208) 473-3100
JESSICA ANN CLARK AU.D.
Audiologist
3101 E STATE ST, SUITE 2108
EAGLE, ID 83616
Ada County (208) 489-4975

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 Kimberly Tanabe's NPI number?

The NPI number for Kimberly Tanabe is 1194773598. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Kimberly Tanabe located?

Kimberly Tanabe practices at 3101 E State St Suite 2120, Eagle, ID 83616. The listed phone number is (208) 473-3275.

What is Kimberly Tanabe's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kimberly Tanabe enrolled in Medicare?

Yes. Kimberly Tanabe is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Tanabe accept?

Health plans from Providence Health Plan list Kimberly Tanabe 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 Kimberly Tanabe was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.