Organization Active NPI

James H Bates MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Meridian, ID
National Provider Identifier
1699973701
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M7754 Issued in ID
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

Updated by the provider on Apr 3, 2014

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.NPI 1821092412
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
805574800MedicaidID

Other names 1

  • Spine & Physical Medicine PLLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050520000078 ID Part B Supplier - Clinic/Group Practice 3476594391 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
13D2015704Spine & Physical Medicine2690 S Eagle Rd #150, Meridian, ID 83642Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.