P Praxis·MD
● Active Type 1 · Individual

Nikolaus Konrad Neudorf, MD

Internal Medicine·Twin Falls, ID· NPI 1174142244 · Enumerated 2020 · 6 years on NPI
Neudorf is 1 of 21 internal medicine providers in Twin Falls and 1 of 504 in Idaho.
NPI age
6 years
Enumerated 2020-04-09
Primary specialty
Internal Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 504 active internal medicine providers in Idaho.

NPI age
6 years
↓ 10 yr below median (16 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
44% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Practice location
801 Pole Line Rd W
Twin Falls, ID 833015810
📞 2088144100fax 2088144908
Mailing address
190 E Bannock St
Boise, ID 837126241

Specialties

  • Internal Medicine Primary
    A 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,...
    ID license #M-17802 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 194 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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