Organization Active NPI

Erland Internal Medicine, PC

Doing business as Erland Internal Medicine

  • Primary Care Clinic/Center
  • Meridian, ID
National Provider Identifier
1104177757
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M6886 Issued in ID
Legal business name
ERLAND INTERNAL MEDICINE, PC
Doing business as
Erland Internal Medicine
Practice address
3667 N Locust Grove Rd
Meridian, ID 83646-5924
Phone
(208) 939-9911
Fax
(208) 939-9911
NPI assigned
Sep 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kerilynn Erland, MD
Title
Director
Phone
(541) 602-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M6886 ID Primary

Addresses

Primary practice location

3667 N Locust Grove Rd
Meridian, ID 83646-5924

Mailing address

3667 N Locust Grove Rd
Meridian, ID 83646-5924
Phone (208) 939-9090

Other names 1

  • Erland Internal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000437 ID Part B Supplier - Clinic/Group Practice 0648424358 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2050003Erland Internal Medicine PC3667 N Locust Grove Rd, Meridian, ID 83646Provider-performed microscopyNov 18, 2026

National Provider Directory

National Provider Directory

Locations

6023 N Eagle Rd
Boise, ID 83713
Phone (208) 322-7284

3667 N Locust Grove Rd
Meridian, ID 83646
Phone (208) 939-9090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1104177757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3667 N LOCUST GROVE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465924",
            "telephone_number": "208-939-9090",
            "fax_number": "208-939-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3667 N LOCUST GROVE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465924",
            "telephone_number": "208-939-9911",
            "fax_number": "208-939-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERLAND INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-23",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "ERLAND",
        "authorized_official_first_name": "KERILYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-602-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": "M6886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erland Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.