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

Ryan John Gilles, MD

Individual provider Family Medicine Physician · NPI 1053519553

Ryan John Gilles, MD is a Family Practice in Coeur D Alene, Idaho. Graduated from Medical College of Wisconsin in 2007, 19 years ago. Practices with Kootenai Health Inc, a 394-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
19
Trained at
Medical College of Wisconsin
Licensed in
ID
In the registry since
2007
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

1919 Lincoln Way 315
Coeur D Alene, ID 83814-2527
Phone: (208) 625-6000
Fax: (208) 625-6001
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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 M10517 (ID)

Record details

NPI number1053519553
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2007
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2007 (19 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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