P Praxis·MD
● Active Type 1 · Individual

Kimiknu Mentore, MD

Internal Medicine·Boise, ID· NPI 1184128480 · Enumerated 2018 · 8 years on NPI
Mentore is 1 of 225 internal medicine providers in Boise and 1 of 504 in Idaho.
NPI age
8 years
Enumerated 2018-03-21
Primary specialty
Internal Medicine
Plus 3 subspecialties
Licensed in
ID, NM
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 504 active internal medicine providers in Idaho.

NPI age
8 years
↓ 8 yr below median (16 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
2
In the 44% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Practice location
5966 W Curtisian Ave
Boise, ID 837048801
📞 2083025450
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1 University Of New Mexico, Msc10 5550
Albuquerque, NM 87131
📞 5052724461

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 #2771058 taxonomy 207R00000X
  • Internal Medicine
    An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients...
    NM license #MD2024-0242 taxonomy 207RI0200X
  • Student in an Organized Health Care Education/Training Program
    An 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.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new internal medicine providers have been added in Boise in the last 180 days. See all →
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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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