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

Derek Kohlhase, MD

Individual provider Family Medicine Physician · NPI 1407410830

Derek Kohlhase, MD is a Family Practice in Star, Idaho. Graduated from University of Minnesota Medical School in 2019, 7 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
7
Trained at
University of Minnesota Medical School
Licensed in
ID
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10717 W State St
Star, ID 83669-6046
Phone: (208) 302-6300
Fax: (208) 302-6355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 E Hawaii Ave, Nampa, ID 83686-6011 — (208) 514-2529

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-15600 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MRM-1814 (ID)

Record details

NPI number1407410830
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address3340 E Goldstone Dr, Meridian, ID 83642-1026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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