Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Dinallo

Individual provider Surgery Physician · NPI 1205193760

Anthony Dinallo is a General Surgery in Boise, Idaho. Qualified in 2012, 14 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Idaho.

Years since qualifying
14
Licensed in
FL, ID
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

1072 N Liberty St Ste 201
Boise, ID 83704-8708
Phone: (208) 302-2400
Fax: (208) 302-2455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 109 W Fortune St # 1525, Tampa, FL 33602 — (973) 703-2361
  • 1906 Fairview Ave Ste 430, Caldwell, ID 83605-5424 — (208) 302-2700
  • 1501 Lexington Ave, New York, NY 10029-7326 — (973) 703-2361

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence M-15847 (ID)
Surgery Physician Taxonomy 208600000X · Licence M-15847 (ID)
Surgery Physician Taxonomy 208600000X · Licence ME137221 (FL)

Record details

NPI number1205193760
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2012
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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