P Praxis·MD
● Active Type 1 · Individual

Tyler Akira Ice

Internal Medicine·Nampa, ID· NPI 1659900736 · Enumerated 2020 · 6 years on NPI
Ice is 1 of 21 internal medicine providers in Nampa and 1 of 504 in Idaho.
NPI age
6 years
Enumerated 2020-04-02
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 504 active internal medicine providers in Idaho.

NPI age
6 years
↓ 10 yr below median (16 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 44% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Practice location
4300 E Flamingo Ave
Nampa, ID 836873138
📞 7143180439
Mailing address
928 S Austin Way
Anaheim, CA 928082350
📞 7143180439

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 #M-17236 taxonomy 207R00000X
  • Hospitalist
    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
    ID license #M-17236 taxonomy 208M00000X

Practice context

Part of a multi-provider practice. 27 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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