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

Dustin Dehart

Individual provider Surgery Physician · NPI 1861055253

Dustin Dehart is a General Surgery in Boise, Idaho. Qualified in 2019, 7 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Illinois.

Years since qualifying
7
Licensed in
ID, IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone: (208) 302-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 S Fairfield Ave, Chicago, IL 60608-1782 — (773) 542-2000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 7871454 (ID)
Surgery Physician Taxonomy 208600000X · Licence 125074479 (IL)

Record details

NPI number1861055253
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2019
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 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 2019 (7 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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