P Praxis·MD
● Active Type 1 · Individual

Rakesh R Shah, MD

Radiology·Boise, ID· NPI 1902868433 · Enumerated 2006 · 20 years on NPI
Shah is 1 of 7 radiology providers in Boise and 1 of 10 in Idaho.
NPI age
20 years
Enumerated 2006-04-03
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
OR, TX, ID, WI
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-05-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 10 active radiology providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
4 states
Top 20% — 80% of peers are multi-state
Subspecialties
1
In the 90% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
333 N 1st St Ste 250
Boise, ID 837026132
📞 2083819384
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
1901 Medi Park, Ste 2050
Amarillo, TX 791062110
📞 8063553352
Location 3
130 2nd St
Neenah, WI 549562883
📞 9207293100fax 9207292088
Location 4
3377 Riverbend Dr
Springfield, OR 974778803
📞 5412228400fax 5412228401

Specialties

  • Radiology Primary
    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.
    OR license #MD210225 taxonomy 2085N0700X
  • Radiology
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #J2321ID license #MC-1523WI license #5145 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (TX) 82R448 BLUE CROSS
01 123729100 FIRSTCARE
01 (TX) MDJ2321 WORKERS COMPENSATION
05 (NM) Q3953
05 (TX) 103357301
05 (OK) 100155790A
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 8 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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