NPI age
19 years
Enumerated 2006-07-10
● Active
Type 1 · Individual
DR. Robert J Digeronimo, MD
Digeronimo is 1 of 20 pediatrics providers in Boise and 1 of 34 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 34 active pediatrics providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 58% — 41% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
190 E Bannock St
Boise, ID 837126241
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2200 Bergquist Dr Ste 1, Attn: Credentials (cmc)
Lackland A F B, TX 782369908
Specialties
-
Pediatrics PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0375487-03 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 671 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 →
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