NPI age
20 years
Enumerated 2005-10-21
● Active
Type 1 · Individual
Peter G Roan, MD
Roan is 1 of 8 internal medicine providers in Nampa and 1 of 100 in Idaho.
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 100 active internal medicine providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
31% of peers hold multiple states
Subspecialties
1
In the 47% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
207 1st St S
Nampa, ID 836513703
Mailing address
3310 E Rivernest Ln
Boise, ID 837066928
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4424 E Flamingo Ave, Suite 300
Nampa, ID 836879306
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
-
Internal MedicineAn area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P00182709 | RAILROAD MEDICARE |
| 05 (ID) | 003895300 | |
| 01 (ID) | 000010149232 | BLUE SHIELD |
| 01 (ID) | B3390 | BLUE CROSS |
Practice context
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
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