P Praxis·MD
● Active Type 2 · Organization

Mountain States Neonatology, Inc.

Pediatrics·Boise, ID· NPI 1205850823 · Enumerated 2006 · 19 years on NPI
Mountain States Neonatology, Inc. is 1 of 34 pediatrics organizations in Idaho.
NPI age
19 years
Enumerated 2006-07-27
Primary specialty
Pediatrics
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sanders
Rcm Director
Last NPPES update
2024-10-23
Source: monthly bulk 2026-05

How this organization compares

Across 34 active pediatrics providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
3
In the 50% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1055 N Curtis Rd
Boise, ID 837061309
📞 2083677610fax 2083677616
Mailing address
1301 Concord Ter
Sunrise, FL 333232843
📞 8002433839

Authorized official

Nanette Sanders
Rcm Director
📞 8002433839

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Pediatrics Primary
    A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
    taxonomy 2080N0001X
  • Nurse Practitioner
    Definition to come...
    taxonomy 363LN0000X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their...
    taxonomy 207VM0101X
  • Pediatrics
    A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both...
    taxonomy 2080P0203X

Identifiers

TypeValueNotes
05 (ID) 806075900

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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