NPI age
20 years
Enumerated 2005-09-26
● Active
Type 1 · Individual
Robert Kenneth Fairbanks, M.D.
Fairbanks is 1 of 5 radiology providers in Lewiston and 1 of 29 in Idaho.
Primary specialty
Radiology
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 29 active radiology providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
37% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
504 6th St
Lewiston, ID 835012439
Mailing address
Po Box 239
Lewiston, ID 835010239
Specialties
-
Radiology PrimaryA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 8243958 | |
| 01 | 000010032648 | BLUE SHIELD OF IDAHO |
| 01 (WA) | 0144615 | LABOR & INDUSTRIES |
| 05 (ID) | 805949200 | |
| 01 (WA) | 3070FA | ASURIS NW HEALTH |
| 01 | 920006292 | RAILROAD MEDICARE |
| 01 | 5034131 | AETNA |
| 01 | K0716 | BLUE CROSS OF IDAHO |
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 29 Radiology 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.