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

Ginger L. Dattilo, MD

Individual provider Internal Medicine Physician · NPI 1639240864

Ginger L. Dattilo, MD is a Hospitalist in Bellevue, Idaho. Graduated from University of Louisville School of Medicine in 1981, 45 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group and accepts Medicare assignment. Licensed in Colorado and Oregon.

Years since qualifying
45
Trained at
University of Louisville School of Medicine
Licensed in
CO, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 Ridgview Dr
Bellevue, ID 83313-0828
Phone: (720) 301-2055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD20663 (OR)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 43963 (CO)

Record details

NPI number1639240864
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESMay 15, 2015
Mailing addressPo Box 828, Bellevue, ID 83313-0828

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice St Lukes Clinic - Wood River Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare