Clinton L. Dille, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

M7113 Issued in ID

Practice address

176 Falls Avenue
Twin Falls, ID 83301

Phone

(208) 733-3181

Fax

(208) 733-3168

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

University of Washington School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sipi Clinic LLCGroup PAC ID 5890167233, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sipi Clinic LLC

  • Specialist
  • Twin Falls, ID
  • NPI 1780398586
  Medicare reassignment Care Compare group NPD
• Sipi Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Twin Falls, ID
  • NPI 1518272087
  NPD (past)

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

• St. Luke'S Magic Valley Regional Medical Center, LTD.

  • General Acute Care Hospital
  • Twin Falls, ID
  • NPI 1932154705
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1306947569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 FALLS AVENUE.",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-733-3181",
            "fax_number": "208-733-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 FALLS AVENUE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-733-3181",
            "fax_number": "208-733-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLE",
        "first_name": "CLINTON",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M7113",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ID",
            "license": "M7113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804043400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelcie Dickerson, PA
• Dale Dickinson, CRNA
• Digestive Health Services, LTD
• Dawn Marie Dill, LMSW
• Rachel Anne Dillard, DDS
• Lucie A Dimaggio, M.D.
• Tamra Dimond, COTA/L, CLT
• Sybil Tifuh Dingha Abeh
• Michael Bruce Dingman, DDS
• Thomas Dirocco, M.D.

• Anesthesiology Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Anesthesiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.

Verify at the official NPI Registry.