Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Idaho Intensivist LLC

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1528656659

Eastern Idaho Intensivist LLC is a Critical Care Medicine (Internal Medicine) Physician in Idaho Falls, Idaho. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (813) 940-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X

Record details

NPI number1528656659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mit Desai — Ceo · (813) 530-5043
NPI enumeratedJanuary 5, 2021
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021
Mailing addressPo Box 21647, Tampa, FL 33622-1647

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