Active NPI
Anthony Dinallo
- Colon & Rectal Surgery Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- M-15847
- Practice address
- 1072 N Liberty St Ste 201
Boise, ID 83704-8708 - Phone
- (208) 302-2400
- Fax
- (208) 302-2455
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M-15847 | ID | |
| Colon & Rectal Surgery Physician | 208C00000X | M-15847 | ID | Primary |
| Surgery Physician | 208600000X | ME137221 | FL |
Addresses
Primary practice location
1072 N Liberty St Ste 201
Boise, ID 83704-8708
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
1501 Lexington Ave
Apt 5S
New York, NY 10029-7326
Phone (973) 703-2361
Other practice location 2
109 W Fortune St # 1525
Tampa, FL 33602
Phone (973) 703-2361
Other practice location 3
1906 Fairview Ave Ste 430
Caldwell, ID 83605-5424
Phone (208) 302-2700
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1055 N Curtis
Boise, ID 83706-1309
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
1072 N Liberty St
Boise, ID 83704-8708
3025 W Cherry LN
Meridian, ID 83642-8531
712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-1035
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
- Saint Alphonsus Medical Center Ontario
- St Luke's Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 20 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-15847 | ID | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
1072 N Liberty St
Ste 201
Boise, ID 83704
Phone (208) 302-2400
1906 Fairview Ave
Ste 430
Caldwell, ID 83605
Phone (208) 302-3100
712 Aviation Way
Caldwell, ID 83605
Phone (208) 302-7100
910 NW 16th St
Ste 102
Fruitland, ID 83619
Phone (208) 302-4200
875 S Vanguard Way
Ste 120
Meridian, ID 83642
Phone (208) 367-6416
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
Interoperability endpoints
- adinallo1563968@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
dba Saint Alphonsus RMC TVL
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
dba St Alphonsus Rehabilitation Services
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba Saint Alphonsus Medical Center Ontario
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1205193760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 N LIBERTY ST STE 201",
"city": "BOISE",
"state": "ID",
"postal_code": "837048708",
"telephone_number": "208-302-2400",
"fax_number": "208-302-2455"
}
],
"practiceLocations": [
{
"address_1": "1501 Lexington Ave",
"address_2": "Apt 5S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100297326",
"country_code": "US",
"telephone_number": "973-703-2361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 W Fortune St # 1525",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "33602",
"country_code": "US",
"telephone_number": "973-703-2361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1906 Fairview Ave Ste 430",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836055424",
"country_code": "US",
"telephone_number": "208-302-2700",
"fax_number": "208-302-2725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DINALLO",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "M-15847",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "ID",
"license": "M-15847",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME137221",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.