Active NPI
James H Bates MD PLLC
- Physical Medicine & Rehabilitation Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- M7754
- Legal business name
- JAMES H BATES MD PLLC
- Practice address
- 2690 S Eagle Rd Ste 150
Meridian, ID 83642-6704 - Phone
- (208) 401-1000
- Fax
- (208) 401-1010
- NPI assigned
- Jul 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James H Bates, M.D.
- Title
- Owner
- Phone
- (208) 401-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | M7754 | ID | Primary |
Addresses
Primary practice location
2690 S Eagle Rd Ste 150
Meridian, ID 83642-6704
Mailing address
2690 S Eagle Rd Ste 150
Meridian, ID 83642-6704
Phone (208) 401-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805574800 | Medicaid | ID |
Other names 1
- Spine & Physical Medicine PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2015704 | Spine & Physical Medicine | Certificate of waiver | Nov 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
2690 S Eagle Rd
#150
Meridian, ID 83642
Phone (208) 401-1000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Meridian, ID
- NPI 1821092412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396483200000",
"number": "1699973701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 S EAGLE RD STE 150",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426704",
"telephone_number": "208-401-1000",
"fax_number": "208-401-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 S EAGLE RD STE 150",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426704",
"telephone_number": "208-401-1000",
"fax_number": "208-401-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES H BATES MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2014-04-03",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-401-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "ID",
"license": "M7754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805574800",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spine & Physical Medicine PLLC",
"code": "5",
"type": "Other Name"
}
]
}
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 Apr 3, 2014; 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.