NPI age
4 years
Enumerated 2022-03-29
● Active
Type 1 · Individual
DR. John Kodatt, MD
Kodatt is 1 of 131 family medicine providers in Nampa and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
ID, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
4 years
↓ 13 yr below median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
2
In the 31% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-03Enumerated in NPPES
2022
2026
Where they practice
Practice location
1510 12th Ave Rd Ste 200
Nampa, ID 836866946
Mailing address
Po Box 190930
Boise, ID 837190930
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
712 Aviation Way
Caldwell, ID 836051154
Location 3
1325 N Race St
Glasgow, KY 421413427
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Emergency MedicineAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
Recently enumerated nearby: 6 new family medicine providers have been added in Nampa in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.