NPIMap

Individual provider Active NPI

Naeem Rahim, M.D.

  • Nephrology Physician
  • Chubbuck, ID
National Provider Identifier
1235286808
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M9243 Issued in ID
Practice address
4511 Zebe Ave Ste 607
Chubbuck, ID 83202-4707
Phone
(208) 904-4780
Fax
(089) 044-8322
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M9243 ID Primary

Addresses

Primary practice location

4511 Zebe Ave Ste 607
Chubbuck, ID 83202-4707

Mailing address

4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone (208) 904-4780

Other identifiers 1

IdentifierTypeStateIssuer
807179100MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address naeemrahim@ikillp.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802001388 ID Practitioner - NephrologyPractitioner - Internal Medicine 3375584204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Kidney Institute LLP 14 clinicians
BMH Inc 137 clinicians

Practice addresses (Care Compare)

1501 Hiland Ave
Suite M
Burley, ID 83318-2688
Phone (208) 904-4780

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone (208) 904-4780

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Hospital & facility affiliations

  • Idaho Kidney Center Home Program Dialysis facility, Idaho Falls, ID, CCN 132535
  • Idaho Kidney Center - Pocatello Dialysis facility, Chubbuck, ID, CCN 132511
  • FMC Idaho Falls Dialysis facility, Idaho Falls, ID, CCN 132514
  • Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325
  • Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
  • Power County Hospital District Hospital, American Falls, ID, CCN 131304
  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M9243IDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. CurrentSince Apr 1, 2017 Accepting new patients
BMH, Inc. CurrentSince Apr 1, 2017 Accepting new patients
BMH Inc Current Accepting new patients
Idaho Kidney Institute LLP Nephrology CurrentSince Jul 1, 2005 Accepting new patients
Pocatello Health Services, LLC CurrentSince Nov 1, 2023 Accepting new patients
Pocatello Health Services, LLC CurrentSince Nov 1, 2023 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
BMH, Inc. Internal Medicine Current Accepting new patients
BMH Inc. Past Accepting new patients
Transtreme, LLC PastSince Dec 13, 2022 Accepting new patients

Locations

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

235 Poplar St
Blackfoot, ID 83221
Phone (208) 785-3828

1501 Hiland Ave
Ste M
Burley, ID 83318
Phone (208) 352-7555

2381 E Sunnyside Rd
Idaho Falls, ID 83404
Phone (208) 523-8500

2381 E Sunnyside Rd
Ste 607
Idaho Falls, ID 83404

1259 Pier View Dr
Idaho Falls, ID 83402

3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400

444 Hospital Way
Ste 607
Pocatello, ID 83201
Phone (208) 589-3844

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401

Interoperability endpoints

  • Direct secure messaging: nrahim261938@ahs.direct-ci.com
  • Direct secure messaging: naeemrahim@bmh.medalliesdirect.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1235286808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ZEBE AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024707",
            "telephone_number": "208-904-4780",
            "fax_number": "208-904-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ZEBE AVE STE 607",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024707",
            "telephone_number": "208-904-4780",
            "fax_number": "089-044-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "NAEEM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ID",
            "license": "M9243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807179100",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "naeemrahim@ikillp.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "naeemrahim@ikillp.allscriptsdirect.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "naeemrahim@ikillp.allscriptsdirect.net",
            "address_1": "4511 Zebe Ave Ste 607",
            "city": "Chubbuck",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832024707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.