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EASTERN IDAHO INTENSIVIST LLC
NPI 1528656659
Internal Medicine - Critical Care Medicine in Idaho Falls, ID

Active since January 05, 2021
3100 CHANNING WAY, IDAHO FALLS, ID 83404(813) 940-7874 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Eastern Idaho Intensivist Llc NPPES

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

EASTERN IDAHO INTENSIVIST LLC (NPI 1528656659) is a healthcare organization registered as a critical care medicine in Idaho Falls, Idaho and active in the NPI registry since January 2021. The organization lists Mit Desai, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528656659
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameEASTERN IDAHO INTENSIVIST LLC
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing AddressPo Box 21647Tampa, FL 33622-1647
Phone(813) 940-7874
Organization SubpartNo
Authorized OfficialMit DesaiCeo · (813) 530-5043
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1528656659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
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.
3100 CHANNING WAY, Idaho Falls, ID 83404
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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

Other Providers at the Same Location NPPES 20

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

CARL SAMUEL BRAYTON DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (714) 616-4454
REED D LOERTSCHER CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6285
ALEXIS R SIDDOWAY NP
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4432
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (801) 581-2121
MR. VENKATA KALYAN C BYRAPOGU MD
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 970-1123
TAYLOR JAMES CARSON
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 670-0407
NOOR ASHRAF NASSEF DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6111
DR. ALAN B WRAY M.D.
Radiology (Diagnostic Radiology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 227-2600

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 Eastern Idaho Intensivist LLC's NPI number?

The NPI number for Eastern Idaho Intensivist LLC is 1528656659. It was assigned to this organization in the NPPES registry on January 5, 2021.

Where is Eastern Idaho Intensivist LLC located?

Eastern Idaho Intensivist LLC is located at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (813) 940-7874.

What is Eastern Idaho Intensivist LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Eastern Idaho Intensivist LLC was last updated on January 5, 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.