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

Michael John Haderlie, MD

Individual provider Nephrology Physician · NPI 1700083813

Michael John Haderlie, MD is a Nephrology in Chubbuck, Idaho. Graduated from Tulane University School of Medicine in 2005, 21 years ago. Practices with Idaho Kidney Institute LLP, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
21
Trained at
Tulane University School of Medicine
Licensed in
ID
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone: (208) 904-4780
Fax: (208) 904-4832
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence M-10858 (ID)

Record details

NPI number1700083813
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address4511 Zebe Ave, Chubbuck, ID 83202-4707

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Idaho Kidney Institute Llp — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Chubbuck