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

Dr. Matthew Aaron Widdison, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932789260

Dr. Matthew Aaron Widdison, MD is a Family Practice in Idaho Falls, Idaho. Graduated from University of Washington School of Medicine in 2021, 5 years ago. Practices with Community Council of Idaho, Inc, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Trained at
University of Washington School of Medicine
Licensed in
ID
In the registry since
2021
Specialties on file
2
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

2100 Alan St
Idaho Falls, ID 83404-5801
Phone: (208) 528-7655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4002 E 397 N, Rigby, ID 83442-5456 — (208) 228-2200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-17421 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932789260
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Community Council Of Idaho, Inc. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Idaho Falls