Gem State Pediatrics
Gem State Pediatrics is a healthcare organization registered as Pediatrics Physician in Meridian, ID, holding Type 2 (organization) NPI 1992853386 since 2007. The authorized official on file is Mario Brus, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1992853386 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gem State Pediatrics |
| Practice address | 520 S EAGLE RD, SUITE 1209, Meridian, ID, 83642 |
| Phone | 2087065460 |
| Fax | 2087065465 |
| Enumeration date | 2007-01-08 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Mario Brus |
|---|---|
| Title | Owner |
| Phone | 2087065460 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | M5562 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57885 | Other | ID | BLUE CROSS OF IDAHO |
| 000010001341 | Other | ID | BLUE SHIELD OF IDAHO |
Copy-ready billing details
Provider: Gem State Pediatrics NPI: 1992853386 Taxonomy: 208000000X (Pediatrics Physician) Address: 520 S EAGLE RD, SUITE 1209, Meridian, ID, 83642
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508782913 | Claire Cashman | Individual | Speech-Language Pathologist | Meridian, ID |
| 1356348015 | Robert Holland | Individual | Family Medicine Physician | Meridian, ID |
| 1326040338 | St Lukes Regional Medical Center | Organization | Pharmacy | Meridian, ID |
| 1558363283 | Mark Hofstetter | Individual | Pharmacist | Meridian, ID |
| 1437148434 | Michael Valerio | Individual | Medical Physician Assistant | Meridian, ID |
| 1205827904 | Michael Severson | Individual | Pain Medicine Physician | Meridian, ID |
| 1154304558 | Laura Zoellner | Individual | Obstetrics & Gynecology Physician | Meridian, ID |
| 1477530335 | Johannes Veldhuis | Individual | Endocrinology, Diabetes & Metabolism Physician | Meridian, ID |
Verify this record
Cross-check NPI 1992853386 against the authoritative CMS record: view Gem State Pediatrics on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Gem State Pediatrics located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.