P Praxis·MD
● Active Type 1 · Individual

Jacob Radil, PA-C

Physician Assistant·Meridian, ID· NPI 1811337017 · Enumerated 2013 · 12 years on NPI
Radil is 1 of 14 physician assistant providers in Meridian and 1 of 97 in Idaho.
NPI age
12 years
Enumerated 2013-07-02
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-01-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 97 active physician assistant providers in Idaho.

NPI age
12 years
≈ at median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 56% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
520 S Eagle Rd Ste 1243
Meridian, ID 836426355
📞 2083332225fax 2087067516
Mailing address
190 E Bannock St
Boise, ID 837126241

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-2126 taxonomy 363AS0400X
  • Social Worker
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    ID license #LMSW # 33052 taxonomy 104100000X

Practice context

Part of a multi-provider practice. 5 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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