Santibanez Pac Idaho
NPI 1346015948 · Geriatric Medicine (Internal Medicine) Physician · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Santibanez Pac Idaho is a Geriatric Medicine (Internal Medicine) Physician organization in Idaho Falls, ID (NPI 1346015948).
Provider details
- NPI number
- 1346015948
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Roser, Vp of Operations(775) 222-0045
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-11-24
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Frequently asked questions
- What is Santibanez Pac Idaho's NPI number?
- Santibanez Pac Idaho's National Provider Identifier (NPI) is 1346015948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Santibanez Pac Idaho?
- Santibanez Pac Idaho is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Santibanez Pac Idaho located?
- Santibanez Pac Idaho's practice location on file with NPPES is 840 E Elva St, Idaho Falls, ID 83401-2801.
- What is Santibanez Pac Idaho's phone number?
- The practice phone number listed in the NPPES registry for Santibanez Pac Idaho is (208) 523-4795.
- Does Santibanez Pac Idaho accept Medicare?
- Santibanez Pac Idaho is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Santibanez Pac Idaho?
- The authorized official listed on Santibanez Pac Idaho's NPPES record is Julie Roser, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Santibanez Pac Idaho's NPI active?
- Yes — Santibanez Pac Idaho's NPI (1346015948) is active in the NPPES registry as of the last update on 2025-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.