Active NPI
James H. Bates, M.D.
- Physical Medicine & Rehabilitation Physician
- Meridian, ID
National Provider Identifier
1821092412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- M7754
- Practice address
- 2690 S Eagle Rd Ste 150
Meridian, ID 83642-6704 - Phone
- (208) 401-1000
- Fax
- (208) 401-1010
- NPI assigned
- Jun 10, 2005
- Reactivated
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Creighton University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2690 S Eagle Rd
Suite 150
Meridian, ID 83642-6704
Phone (208) 401-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7754 | ID | MD | Physical Medicine & Rehabilitation Physician |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Meridian, ID
- NPI 1699973701
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1821092412",
"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": {
"last_name": "BATES",
"first_name": "JAMES",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2014-04-02",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_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": []
}
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 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.