NPI age
20 years
Enumerated 2006-05-16
● Active
Type 1 · Individual
Frederick R Haller, M.D.
Haller is 1 of 3 internal medicine providers in Kellogg and 1 of 504 in Idaho.
Primary specialty
Internal Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-08-19
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
20 years
↑ 4 yr above median (16 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
44% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
740 McKinley Ave
Kellogg, ID 838372523
Mailing address
740 McKinley Ave
Kellogg, ID 838372523
Specialties
-
Internal Medicine PrimaryA 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1185830001 | MEDICARE DMERC |
| 01 (ID) | 080089993 | RAILROAD MEDICARE |
| 05 (ID) | 002790400 |
Practice context
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.