P Praxis·MD
● Active Type 1 · Individual

DR. Gregory Daniel Kostur, M.D.

Pediatrics·Pocatello, ID· NPI 1447316799 · Enumerated 2006 · 19 years on NPI
Kostur is 1 of 10 pediatrics providers in Pocatello and 1 of 252 in Idaho.
NPI age
19 years
Enumerated 2006-12-29
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 252 active pediatrics providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 73% — 27% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
500 S 11th Ave Ste 204
Pocatello, ID 832014878
📞 2082323355fax 8552307350
Mailing address
500 S 11th Ave Ste 400
Pocatello, ID 832014880
📞 2082327862fax 2082322408

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    ID license #M-14706TX license #N3122 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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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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