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JOSEPH W IPPOLITO JR MD PLLC
NPI 1154561116
Preferred Provider Organization in Twin Falls, ID

Active since March 03, 2009CLIA 13D0981243 · Waiver
526 SHOUP AVE W, SUITE F, TWIN FALLS, ID 83301(208) 736-7620(208) 735-9537 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1154561116
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameJOSEPH W IPPOLITO JR MD PLLC
Location Address526 SHOUP AVE W, SUITE FTwin Falls, ID 83301-4591
Mailing Address526 Shoup Ave W, Suite FTwin Falls, ID 83301-4591 · (208) 736-7620 · Fax (208) 735-9537
Phone(208) 736-7620
Fax(208) 735-9537
Organization SubpartNo
Authorized OfficialJoseph W IppolitoMedical Doctor/owner · (208) 736-7620
Enumeration DateMarch 3, 2009
Last NPPES UpdateAugust 29, 2012
✔ NPI 1154561116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in ID · M7008
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
526 SHOUP AVE W, Twin Falls, ID 83301
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Other Identifiers 4

Medicare UPINF55156ID
Other000010001696ID · Regence Blue Shield Of Idaho
OtherDY066ID · Blue Cross Of Idaho
Medicaid003755600ID

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, ID
Active · expires Dec 20, 2026
CLIA Number13D0981243
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorJoseph W. Ippolito
Laboratory Phone(208) 736-7620
Laboratory LocationJoseph W Ippolito MD526 Shoup Ave W #f, Twin Falls, ID 83301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RUSTIN M HATCH O.D.
Optometrist
526 SHOUP AVE W, STE H
TWIN FALLS, ID 83301
Twin Falls County (208) 733-2400
MR. JOSEPH W IPPOLITO JR. M.D.
Family Medicine
526 SHOUP AVE W, SUITE F
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7620
DR. MAYBEN COLE JOHNSON DO
Family Medicine
526 SHOUP AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 733-1112
NEELIE BERLIN WILLIS PA-C
Physician Assistant
526 SHOUP AVE W, SUITE A
TWIN FALLS, ID 83301
Twin Falls County (208) 734-5555
M COLE JOHNSON, INC
Family Medicine
526 SHOUP AVE W, SUITE E
TWIN FALLS, ID 83301
Twin Falls County (208) 733-1112
SCHOLES AND SCHOLES DERMATOLOGY
Dermatology
526 SHOUP AVE W, SUITE A
TWIN FALLS, ID 83301
Twin Falls County (208) 734-5555
DR. SCOTT E. ALLAN M.D.
Ophthalmology
526 SHOUP AVE W, STE H
TWIN FALLS, ID 83301
Twin Falls County (208) 733-2400
CHRISTOPHER THAD SCHOLES M.D.
Dermatology
526 SHOUP AVE W, SUITE A
TWIN FALLS, ID 83301
Twin Falls County (208) 734-5555

Frequently 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.

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.

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 13 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.