NPI age
18 years
Enumerated 2007-12-31
● Active Type 2 · Organization
Northridge Internal Medicine, Pllc
Northridge Internal Medicine, Pllc is 1 of 504 internal medicine organizations in Idaho.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bates
Member
Last NPPES update
2008-02-11
Source: monthly bulk 2026-05
How this organization compares
Across 504 active internal medicine providers in Idaho.
NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
36 Professional Plz, Ste-102
Rexburg, ID 834402049
Mailing address
36 Professional Plz, Ste-102
Rexburg, ID 834402049
Authorized official
Rodney Bates, D.O.
Member
📞 2086568456
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Rodney Bates, DO Internal Medicine NPI 1700822491
- Janiel Green, PA-C Physician Assistant NPI 1114297660
- Tyler Harrigfeld, DPT Physical Therapist NPI 1760831549
- Andrew Summers, DDS Dentist NPI 1164430393
- Stacie Thompson, MPT Physical Therapist NPI 1881805521
Specialties
-
Internal Medicine PrimaryA 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,...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.