OrganizationActive
Diabetes and Internal Medicine
NPI 1225257652 · Internal Medicine Physician · Pocatello, ID
Provider details
- NPI number
- 1225257652
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sherwin D'Souza, President(208) 236-1600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2302 E. Terry Street
Pocatello, ID 83201
Phone: (208) 236-1600
Street-level locationGet directions
Mailing address
Po Box 335
Pocatello, ID 83204-0335
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2010-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.