NPI age
18 years
Enumerated 2007-07-02
● Active
Type 1 · Individual
Michael John Haderlie, MD
Haderlie is 1 of 4 internal medicine providers in Chubbuck and 1 of 46 in Idaho.
Primary specialty
Internal Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-12-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 46 active internal medicine providers in Idaho.
NPI age
18 years
≈ at median (19 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Practice location
4511 Zebe Ave
Chubbuck, ID 832024707
Mailing address
4511 Zebe Ave
Chubbuck, ID 832024707
Specialties
-
Internal Medicine PrimaryAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 46 Internal Medicine providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.