David E Fonseca, MD
David E Fonseca, MD is registered under Pulmonary Disease in Meridian, Idaho. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2004, 22 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho and Wisconsin.
- Years since qualifying
- 22
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- ID, WI
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2347 E Gala StMeridian, ID 83642-4881 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 323-3767
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X · Licence M11826 (ID) |
|---|---|
| Pulmonary Disease Physician | Taxonomy 207RP1001X · Licence 54310-20 (WI) |
| Critical Care Medicine (Internal Medicine) Physician | Taxonomy 207RC0200X · Licence 54310-20 (WI) |
Record details
| NPI number | 1205034238 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 11, 2007 |
| Last updated in NPPES | April 26, 2013 |
Medicare enrollment
| Medicare specialty | PULMONARY DISEASE |
|---|---|
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 2004 (22 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 254 |
|---|---|
| Services billed | 484 |
| Average patient age | 75 |
Payments from drug and device companies, 2025
| Food and Beverage | $137 |
|---|
Practises at
- St Luke'S Elmore Medical Center Hospital · Mountain Home, ID · listed as Elmore Medical Center
- St Luke'S McCall Hospital · McCall, ID · listed as St Luke's McCall Ltd
- St Luke'S Regional Medical Center Hospital · Boise, ID
- St Luke'S Nampa Medical Center Hospital · Nampa, ID
Colleagues at St Lukes Clinic-Treasure Valley LLC
- Dr. Luciano Costa Amado, MD Clinical Cardiac Electrophysiology Physician · Boise, ID
- Mr. Kacey L Andreasen, PA-C Medical Physician Assistant · Ontario, OR
- Dr. Donald John Blaskiewicz, MD Neurological Surgery Physician · Boise, ID
- Kacey Blea Student in an Organized Health Care Education/Training Program · Boise, ID
- Chelsea E Dedlow, NP Family Nurse Practitioner · Boise, ID
- Mr. Bradley James Heninger, PA-C Medical Physician Assistant · Fruitland, ID
- Mark L Holbrook, MD Internal Medicine Physician · Boise, ID
- Katherine Elizabeth Kramme, DO Surgery Physician · Meridian, ID
- Mr. Matthew Rand Lindley, MSW Social Worker · Boise, ID
- Elizabeth Anne Malarkey, FNP-C Occupational Health Nurse Practitioner · Meridian, ID
- Audrey Brynn Rush, NP-C Nurse Practitioner · Loveland, CO
- Dr. Michael D Severson, MD Anesthesiology Physician · Meridian, ID
Other providers in Meridian
-
Dr. Saadia R Akhtar, MD
2347 E Gala St, Meridian, ID 83642-4881 · (208) 323-0031
-
Dr. William G Bergquist, MD
2347 E Gala St, Meridian, ID 83642-4881 · (208) 323-0031
-
Dr. William J Dittrich, MD
2347 E Gala St, Meridian, ID 83642-4881 · (208) 323-0031
-
Dr. Codi Lynn Fitzgerald, MD
2347 E Gala St, Meridian, ID 83642-4881 · (208) 323-3767
-
Dr. Brian W Goltry, MD
2347 E Gala St, Meridian, ID 83642-4881 · (208) 323-0031
-
Oleg Sergeevich Kouskov, MD
2347 E Gala St, Meridian, ID 83642-4881 · (208) 323-3767
-
Karen S Miller, MD
2347 E Gala St, Meridian, ID 83642-4881 · (208) 323-3767
-
Dr. Sogol Nowbar, MD
2347 E Gala St, Meridian, ID 83642-4881 · (208) 323-0031