OrganizationActive
Eagle Internal Medicine, PLLC
NPI 1609004597 · Internal Medicine Physician · Eagle, ID
Provider details
- NPI number
- 1609004597
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Patmas, President(208) 938-0090
- License
- M10058 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1025 S Bridge Way Pl
Suite 100
Eagle, ID 83616-6834
Phone: (208) 938-0090
Street-level locationGet directions
Mailing address
1025 S. Bridgeway Pl.
Eagle, ID 83616
Registry dates
- Enumerated
- 2009-06-30
- Last updated
- 2009-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.