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

Joseph Pendleton, MD

Individual provider Family Medicine Physician · NPI 1689238016

Joseph Pendleton, MD is a Family Practice in Hailey, Idaho. Qualified in 2019, 7 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
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

1450 Aviation Dr Ste 100
Hailey, ID 83333-8785
Phone: (208) 788-3434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-15465 (ID)

Record details

NPI number1689238016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Lukes Clinic - Wood River Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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