Individual provider Active NPI

Peter J Valora, PA

  • Physician Assistant
  • Rexburg, ID
National Provider Identifier
1184097370
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1321 Issued in ID
Practice address
72 S 1St E Ste 101
Rexburg, ID 83440-1965
Phone
(208) 356-4900
Fax
(208) 356-3724
NPI assigned
Nov 10, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Valley Community Health Services Inc 31 clinicians

Practice addresses (Care Compare)

335 E Main St
Saint Anthony, ID 83445-1546
Phone (208) 356-4900

72 S 1St
Suite 101
Rexburg, ID 83440-1902
Phone (208) 356-4900

72 S 1St
Suite 103
Rexburg, ID 83440-1965
Phone (208) 356-4900

Hospital & facility affiliations

  • Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025
  • Idaho Falls Community Hospital, LLC Hospital, Idaho Falls, ID, CCN 130074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160901000610 ID Practitioner - Physician Assistant 7719273630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Community Health Services Inc CurrentSince Mar 10, 2025 Accepting new patients
Upper Valley Community Health Services, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Upper Valley Community Health Services Inc Past Accepting new patients
Upper Valley Community Health Services Inc Past Accepting new patients
Upper Valley Community Health Services Inc Past Accepting new patients

Locations

3729 Woodking Dr
#1
Idaho Falls, ID 83404
Phone (208) 522-3404

72 S 1st E
Ste 103
Rexburg, ID 83440

72 S 1st E
Ste 101
Rexburg, ID 83440

20 N 3rd E
Saint Anthony, ID 83445
Phone (208) 624-4100

335 E Main St
Ste 3
Saint Anthony, ID 83445
Phone (208) 624-4100

335 E Main St
Ste 1
Saint Anthony, ID 83445

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1321 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

72 S 1St E Ste 101
Rexburg, ID 83440-1965

Mailing address

PO Box 18
Saint Anthony, ID 83445-0018
Phone (208) 356-4900

Other practice location 1

335 E Main St Ste 1
Saint Anthony, ID 83445-1546
Phone (208) 356-4900

Other practice location 2

3729 Woodking Dr Ste 1
Idaho Falls, ID 83404-4720
Phone (208) 356-4900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2025.

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1184097370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834450018",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S 1ST E STE 101",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401965",
            "telephone_number": "208-356-4900",
            "fax_number": "208-356-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saint Anthony",
            "state": "ID",
            "postal_code": "834451546",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3729 Woodking Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834044720",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-612-6118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALORA",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.