IndividualActive
Elias Lines, DO
NPI 1629716717 · Pediatrics Physician · Rexburg, ID
Elias Lines, DO is a Pediatrics Physician provider in Rexburg, ID (NPI 1629716717).
Provider details
- NPI number
- 1629716717
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 1271657 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1236 Bond Ave Ste B
Rexburg, ID 83440-3503
Phone: (208) 522-4600
Fax: (208) 552-7521
Street-level locationGet directions
Mailing address
1236 Bond Ave Ste B
Rexburg, ID 83440-3503
Additional practice locations (1)
- 3067 Eagle DrAmmon, ID 83406-1273Phone: (208) 522-4600Fax: (208) 552-7521
Registry dates
- Enumerated
- 2022-05-26
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Frequently asked questions
- What is Elias Lines's NPI number?
- Elias Lines's National Provider Identifier (NPI) is 1629716717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elias Lines's specialty?
- Elias Lines is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Elias Lines located?
- Elias Lines's practice location on file with NPPES is 1236 Bond Ave Ste B, Rexburg, ID 83440-3503.
- What is Elias Lines's phone number?
- The practice phone number listed in the NPPES registry for Elias Lines is (208) 522-4600.
- Is Elias Lines's NPI active?
- Yes — Elias Lines's NPI (1629716717) is active in the NPPES registry as of the last update on 2026-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.