NPI age
7 years
Enumerated 2019-05-22
● Active
Type 1 · Individual
Evan Melville, DO
Melville is 1 of 1 pediatrics providers in Boise and 1 of 1 in Idaho.
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1 active pediatrics providers in Idaho.
NPI age
7 years
≈ at median (6 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-05Enumerated in NPPES
2019
2026
Where they practice
Practice location
2619 W Fairview Ave
Boise, ID 837026722
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Pediatrics PrimaryA pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have...
Practice context
Part of a multi-provider practice. 13 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 →
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