JOSEPH W IPPOLITO JR MD PLLC
NPI 1154561116
Preferred Provider Organization in Twin Falls, ID
About Joseph W Ippolito Jr Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH W IPPOLITO JR MD PLLC (NPI 1154561116) is a healthcare organization registered as a preferred provider organization in Twin Falls, Idaho and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Joseph W Ippolito, Medical Doctor/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joseph W Ippolito Jr Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Joseph W Ippolito Jr MD PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D0981243
Joseph W Ippolito MD · Twin Falls, IDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Joseph W Ippolito Jr MD PLLC's NPI number?
The NPI number for Joseph W Ippolito Jr MD PLLC is 1154561116. It was assigned to this organization in the NPPES registry on March 3, 2009.
Where is Joseph W Ippolito Jr MD PLLC located?
Joseph W Ippolito Jr MD PLLC is located at 526 Shoup Ave W Suite F, Twin Falls, ID 83301. The listed phone number is (208) 736-7620.
What is Joseph W Ippolito Jr MD PLLC's specialty?
The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.
Is Joseph W Ippolito Jr MD PLLC enrolled in Medicare?
Yes. Joseph W Ippolito Jr MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Joseph W Ippolito Jr MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Joseph W Ippolito Jr MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Joseph W Ippolito Jr MD PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D0981243) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Joseph W Ippolito Jr MD PLLC accept?
Health plans from Molina Healthcare list Joseph W Ippolito Jr MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Joseph W Ippolito Jr MD PLLC was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Joseph W Ippolito Jr Md Pllc · NPI 1154561116
Preferred Provider Organization organization in Twin Falls, Idaho. Organization record, active in the CMS NPPES registry since March 3, 2009.
## Identity
- **NPI:** 1154561116 (Entity type: Organization)
- **Enumerated:** March 3, 2009
- **Primary specialty:** Preferred Provider Organization · taxonomy 305R00000X
- **Organization subpart:** No
- **Authorized official:** Joseph Ippolito, MEDICAL DOCTOR/OWNER
## Practice location
- **Address:** 526 SHOUP AVE W, SUITE F, Twin Falls, ID 83301-4591
- **Phone:** (208) 736-7620 · **Fax:** (208) 735-9537
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2012
- **Other identifiers:** Medicare UPIN F55156 (ID); Other 000010001696 (ID); Other DY066 (ID); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154561116) · Data from the CMS NPPES public registry.