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

Individual provider Family Medicine Physician · NPI 1790713204

Dr. Derek B Hamblin, MD is a Family Practice in Caldwell, Idaho. Graduated from Oregon Health Sciences University School of Medicine in 1995, 31 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
31
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
ID, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4815 Cleveland Blvd
Caldwell, ID 83605-6501
Phone: (208) 455-3545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-11020 (ID)
Specialist Taxonomy 174400000X · Licence MD23651 (OR)

Record details

NPI number1790713204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESMarch 26, 2019
Mailing addressPo Box 191050, Boise, ID 83719-1050

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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