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

David E Fonseca, MD

Individual provider Pulmonary Disease Physician · NPI 1205034238

David E Fonseca, MD is a 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.

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Practice location Address checks out

2347 E Gala St
Meridian, ID 83642-4881
Phone: (208) 323-3767
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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 number1205034238
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2007
Last updated in NPPESApril 26, 2013
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolUNIVERSITY 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 locations7 on file with Medicare

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