P Praxis·MD
● Active Type 2 · Organization Subpart

St Luke'S Regional Medical Center

Pediatrics·Boise, ID· NPI 1316243330 · Enumerated 2011 · 15 years on NPI
St Luke'S Regional Medical Center is 1 of 3 pediatrics organizations in Idaho.
NPI age
15 years
Enumerated 2011-02-09
Primary specialty
Pediatrics
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kee
Vp Physician Services
Last NPPES update
2011-02-09
Source: monthly bulk 2026-05

How this organization compares

Across 3 active pediatrics providers in Idaho.

NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
100 E Idaho St, Ste 200
Boise, ID 837126267
📞 2083815000fax 2083815005
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812222

Authorized official

John Kee
Vp Physician Services
📞 2083815329

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Pediatrics Primary
    A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
    ID license #03 taxonomy 2080P0008X
  • Psychologist
    A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical...
    ID license #03 taxonomy 103TC2200X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ST LUKE'S CHILDRENS - NEUROLOGY
    Type code 3 recorded 2011-02-09

Practice context

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

Subpart of St Luke'S Regional Medical Center.

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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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