P Praxis·MD
● Active Type 1 · Individual

Jacob Delarosa, MD

Internal Medicine·Pocatello, ID· NPI 1083759880 · Enumerated 2007 · 19 years on NPI
Delarosa is 1 of 8 internal medicine providers in Pocatello and 1 of 100 in Idaho.
NPI age
19 years
Enumerated 2007-02-20
Primary specialty
Internal Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-03-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 100 active internal medicine providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
31% of peers hold multiple states
Subspecialties
0
47% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
651 Memorial Dr
Pocatello, ID 832014071
📞 2082391000
Mailing address
777 Hospital Way Ste 215
Pocatello, ID 832015162
📞 2082392580fax 2082392589

Specialties

  • Internal Medicine Primary
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    ID license #M9019 taxonomy 207RC0000X

Identifiers

TypeValueNotes
01 (ID) M9019 STATE

Practice context

Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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