P Praxis·MD
● Active Type 1 · Individual

DR. Eduardo Avila, MD

Surgery·Blackfoot, ID· NPI 1760430367 · Enumerated 2006 · 20 years on NPI
Avila is 1 of 7 surgery providers in Blackfoot and 1 of 260 in Idaho.
NPI age
20 years
Enumerated 2006-05-05
Primary specialty
Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-03-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
98 Poplar St
Blackfoot, ID 832211758
📞 2087823993fax 2087823994
Mailing address
98 Poplar St
Blackfoot, ID 832211758
📞 2087823993fax 2087823994

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #M-9388 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (ID) 75390 BLUE CROSS OLD
01 (ID) 000010151099 REGENCE BLUE SHEILD
01 (ID) HB400 BLUE CROSS
01 (ID) 243412 ALTIUS OLD
01 (ID) 313067 ALTIUS

Practice context

Part of a multi-provider practice. 107 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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