P Praxis·MD
● Active Type 1 · Individual

DR. Jason Baltar Rodulfa, MD

Radiology·Coeur D Alene, ID· NPI 1891102620 · Enumerated 2014 · 11 years on NPI
Rodulfa is 1 of 62 radiology providers in Coeur D Alene and 1 of 248 in Idaho.
NPI age
11 years
Enumerated 2014-07-14
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
ID, WV, NV
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
11 years
↓ 8 yr below median (19 yr)
State licenses
3 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Practice location
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 838144401
📞 2086256300fax 2086256301
Mailing address
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 838144401
📞 2086256309fax 2086256310

Additional practice locations

1 secondary location on file with NPPES.

Location 2
25 Jacobs Gulch Rd
Kellogg, ID 838372023
📞 2087841221fax 2087840961

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    ID license #M-17337NV license #20293 taxonomy 2085R0202X
  • Radiology
    A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
    WV license #30016ID license #M-17337 taxonomy 2085N0700X

Practice context

Part of a multi-provider practice. 32 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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