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MICHAEL JOHN HADERLIE MD NPI 1700083813


NPI Information

NPI: 1700083813
Provider Name: MICHAEL JOHN HADERLIE, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: IDAHO KIDNEY INSTITUTE LLP

PECOS Registration: Yes

Address:
444 HOSPITAL WAY
SUITE 607
POCATELLO, ID
ZIP 83201
Phone: (208) 904-4780
Get Directions

Michael John Haderlie, MD is a nephrology internal medicine in Pocatello, ID with 19 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Michael John Haderlie, MD NPI is 1700083813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

444 HOSPITAL WAY
SUITE 607
POCATELLO, ID
ZIP 83201-745
Phone: (208) 904-4780

The NPI 1700083813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

The enumeration date for this NPI number is 7/2/2007 and was last updated on 7/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyM-10858IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.