NPI age
19 years
Enumerated 2006-07-27
● Active
Type 1 · Individual
DR. Samuel C. Bieligk, M.D.
Bieligk is 1 of 13 surgery providers in Lewiston and 1 of 260 in Idaho.
Primary specialty
Surgery
Plus 4 subspecialties
Licensed in
TX, ID, MD, MO
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 260 active surgery providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
4 states
Top 71% — 28% of peers are multi-state
Subspecialties
2
In the 37% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
415 6th St
Lewiston, ID 83501
Mailing address
415 6th Street, Attn: Physician Services
Lewiston, ID 835012434
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
6475 S Yale Ave, Suite 406
Tulsa, OK 741367816
Location 3
4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 754017856
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
-
Clinic/CenterDefinition to come...
-
SurgeryA surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 205492804 | |
| 01 (ID) | MC-2661 | IDAHO LICENSE |
| 01 (MO) | P00785793 | RAIL ROAD MEDICARE |
| 05 (OK) | 200135770A | |
| 05 (TX) | 406342201 |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 119 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new surgery provider has been added in Lewiston in the last 180 days.
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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.