P Praxis·MD
● Active Type 1 · Individual

Randall T Hermann, MD

Internal Medicine·Ketchum, ID· NPI 1619034188 · Enumerated 2007 · 19 years on NPI
Hermann is 1 of 9 internal medicine providers in Ketchum and 1 of 504 in Idaho.
NPI age
19 years
Enumerated 2007-01-03
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 504 active internal medicine providers in Idaho.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 44% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
208 Spruce St .
Ketchum, ID 83340
📞 2087269781fax 2087261377
Mailing address
Po Box 1204
Ketchum, ID 833401204
📞 2087269781fax 2087261377

Specialties

  • Internal Medicine Primary
    A 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,...
    ID license #M4140 taxonomy 207R00000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #M4140 taxonomy 207Q00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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