P Praxis·MD
● Active Type 1 · Individual

DR. Elias R Lines, DO

Pediatrics·Rexburg, ID· NPI 1629716717 · Enumerated 2022 · 3 years on NPI
Lines is 1 of 8 pediatrics providers in Rexburg and 1 of 252 in Idaho.
NPI age
3 years
Enumerated 2022-05-26
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-06
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
3 years
↓ 15 yr below median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-05Enumerated in NPPES
2022 2026

Where they practice

Practice location
1236 Bond Ave Ste B
Rexburg, ID 834403503
📞 2085224600fax 2085527521
Mailing address
1236 Bond Ave Ste B
Rexburg, ID 834403503
📞 2085224600fax 2085527521

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3067 Eagle Dr
Ammon, ID 834061273
📞 2085224600 x105fax 2085527521

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 #1271657 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 3 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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