NPI age
10 years
Enumerated 2015-05-26
● Active
Type 1 · Individual
DR. Robert John Hagenberg III, M.D.
Hagenberg is 1 of 2 emergency medicine providers in Meridian and 1 of 22 in Idaho.
Primary specialty
Emergency Medicine
Licensed in
AZ
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-06-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22 active emergency medicine providers in Idaho.
NPI age
10 years
↓ 9 yr below median (19 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-05Enumerated in NPPES
2015
2026
Where they practice
Practice location
3080 E Gentry Way Ste 210
Meridian, ID 83642
Mailing address
1501 N Campbell Ave
Tucson, AZ 857240001
Specialties
-
Emergency Medicine PrimaryAn emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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- 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.