P Praxis·MD
● Active Type 1 · Individual

DR. Robert Pereyra, MD

Surgery·Coeur D Alene, ID· NPI 1841336138 · Enumerated 2007 · 19 years on NPI
Pereyra is 1 of 9 surgery providers in Coeur D Alene and 1 of 38 in Idaho.
NPI age
19 years
Enumerated 2007-01-30
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
ID, CA, AZ
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-07-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 38 active surgery providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 57% — 42% of peers are multi-state
Subspecialties
0
55% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
700 W Ironwood Dr Ste 350
Coeur D Alene, ID 838144487
📞 2086255222fax 2086255223
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086255222fax 2086255223

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1560 E. Chevy Chase Dr., Suite 430
Glendale, CA 912064197
📞 8182431135fax 8182439332
Location 3
1215 N Beaver St
Flagstaff, AZ 860013126
📞 9287732200fax 9287732151

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    ID license #MC0957CA license #G34124AZ license #59047 taxonomy 2086S0129X

Practice context

Part of a multi-provider practice. 12 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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