NPI age
19 years
Enumerated 2006-12-11
● Active Type 2 · Organization
Upper Valley Pediatrics
Upper Valley Pediatrics is 1 of 252 pediatrics organizations in Idaho.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gates
Managing Partner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 252 active pediatrics providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
36 Professional Plaza
Rexburg, ID 83440
Mailing address
36 Professional Plaza
Rexburg, ID 83440
Authorized official
Gene Preston Gates, M.D.
Managing Partner
📞 2083560234
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Trisha Evans, MOT Occupational Therapist NPI 1831549401
Specialties
-
Pediatrics PrimaryA 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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.