P Praxis·MD
● Active Type 1 · Individual

Richard Alan Blatter, D.O.

Urology·Idaho Falls, ID· NPI 1154682565 · Enumerated 2012 · 13 years on NPI
Blatter is 1 of 6 urology providers in Idaho Falls and 1 of 78 in Idaho.
NPI age
13 years
Enumerated 2012-06-01
Primary specialty
Urology
Plus 3 subspecialties
Licensed in
ID, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 78 active urology providers in Idaho.

NPI age
13 years
↓ 6 yr below median (19 yr)
State licenses
2 states
Top 64% — 35% of peers are multi-state
Subspecialties
0
41% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
2001 S Woodruff Ave Ste 4
Idaho Falls, ID 834046371
📞 2085244511fax 2085244540
Mailing address
2375 Coronado St
Idaho Falls, ID 834047407
📞 2085521234fax 2085244540

Additional practice locations

1 secondary location on file with NPPES.

Location 2
909 Fee Rd, Msu/gmei Uro Surgery, West Fee Hall, Room B415
East Lansing, MI 488246537
📞 5173538470fax 5174321074

Specialties

  • Urology Primary
    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
    ID license #O-1041MI license #5315055574MI license #5101019997MI license #O-1041 taxonomy 208800000X

Identifiers

TypeValueNotes
01 (ID) O-1041 IDAHO STATE LICENSE
05 (MI) 1154682565
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 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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