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ENNIS ENDOCRINOLOGY, PLLC
NPI 1902143134
Internal Medicine - Endocrinology, Diabetes & Metabolism in Meridian, ID

Active since January 08, 2013CLIA 13D2082228 · Waiver
2450 E GALA ST STE 100, MERIDIAN, ID 83642(208) 994-8180(208) 908-4542 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ennis Endocrinology, Pllc NPPES

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

ENNIS ENDOCRINOLOGY, PLLC (NPI 1902143134) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Meridian, Idaho and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through August 10, 2026 and lists Robert Frank Ennis, Physician, as its authorized official.

NPPES Registry Identity

NPI1902143134
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameENNIS ENDOCRINOLOGY, PLLC
Location Address2450 E GALA ST STE 100Meridian, ID 83642-4805
Mailing Address2498 W Timber DrEagle, ID 83616-4665 · (208) 994-8180
Phone(208) 994-8180
Fax(208) 908-4542
Organization SubpartNo
Authorized OfficialRobert Frank EnnisPhysician · (208) 994-8180
Enumeration DateJanuary 8, 2013
Last NPPES UpdateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1902143134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in ID · M-11309
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2450 E GALA ST STE 100, Meridian, ID 83642
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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

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2082228

Ennis Endocrinology Clinic · Meridian, ID
Active · expires Aug 10, 2026
CLIA Number13D2082228
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorRobert Ennis
Laboratory Phone(208) 908-4541
Laboratory LocationEnnis Endocrinology Clinic2450 E Gala St, Ste 100, Meridian, ID 83642
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ennis Endocrinology, PLLC's NPI number?

The NPI number for Ennis Endocrinology, PLLC is 1902143134. It was assigned to this organization in the NPPES registry on January 8, 2013.

Where is Ennis Endocrinology, PLLC located?

Ennis Endocrinology, PLLC is located at 2450 E Gala St Ste 100, Meridian, ID 83642. The listed phone number is (208) 994-8180.

What is Ennis Endocrinology, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Ennis Endocrinology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2082228) is associated with this NPI, valid through August 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ennis Endocrinology, PLLC accept?

Health plans from Moda Health Plan, Inc. list Ennis Endocrinology, PLLC 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 Ennis Endocrinology, PLLC was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.