Alan G Avondet, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M4469 Issued in ID

Practice address

2001 S Woodruff Ave
Suite #15
Idaho Falls, ID 83404-6374

Phone

(208) 522-7310

Fax

(208) 524-0559

NPI assigned

Jun 18, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Medicare reassignment NPD
• St Mark's Professional Services, LLC

  • Internal Medicine Physician
  • Salt Lake City, UT
  • NPI 1912925629

  ID

  Medicare reassignment NPD
• Radial First Cardiovascular Associates, LLC

  • Interventional Cardiology Physician
  • Idaho Falls, ID
  • NPI 1730563909
  NPD (past)
• Dialysis Program Physicians University of Utah

  • Specialist
  • Salt Lake City, UT
  • NPI 1689770356
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487699856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE",
            "address_2": "SUITE #15",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046374",
            "telephone_number": "208-522-7310",
            "fax_number": "208-524-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE",
            "address_2": "SUITE #15",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046374",
            "telephone_number": "208-522-7310",
            "fax_number": "208-524-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVONDET",
        "first_name": "ALAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M4469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010003854",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4469-3",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO STATE NARC. #",
            "identifier": "MD3207",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Leaves Psychiatry, PLLC
• Avalon Hospice, LLC
• Bonita Joy Avery, BA
• Avidity Counseling, LLC
• Abigail Jane Avolio, MOTR/L
• B and B Drug Inc
• Sean Bachman
• Badger Inc (RISE UP Child and Teen Crisis Center)
• Badger Inc. (Rehabilitative Health Services)
• Heather Anne Bagley, N.P.

• Internal Medicine Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.