Dr. Jason Baltar Rodulfa, MD
Dr. Jason Baltar Rodulfa, MD is a Diagnostic Radiology in Coeur D Alene, Idaho. Qualified in 2014, 12 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Nevada and West Virginia.
- Years since qualifying
- 12
- Licensed in
- ID, NV, WV
- In the registry since
- 2014
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
700 W Ironwood Dr Ste 175Coeur D Alene, ID 83814-4401
Phone: (208) 625-6300
Fax: (208) 625-6301
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 — (208) 784-1221
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence M-17337 (ID) |
|---|---|
| Neuroradiology Physician | Taxonomy 2085N0700X · Licence 30016 (WV) |
| Neuroradiology Physician | Taxonomy 2085N0700X · Licence M-17337 (ID) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 20293 (NV) |
Record details
| NPI number | 1891102620 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 14, 2014 |
| Last updated in NPPES | February 11, 2026 |
| Certification date | February 11, 2026 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Kootenai Health Inc — 394 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Coeur D Alene
-
Dr. Amit Kumar Chakraborty, MD
700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401 · (208) 625-6300
-
Radiology Associates of North Idaho, PA
700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401 · (208) 625-6309
-
Dr. Taylor Fredric Reichel, MD
700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401 · (208) 625-6300