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

Mark Alan Crandall, MD

Individual provider Internal Medicine Physician · NPI 1619096278

Mark Alan Crandall, MD is a Cardiovascular Disease (Cardiology) in Twin Falls, Idaho. Graduated from University of Washington School of Medicine in 2006, 20 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Ohio.

Years since qualifying
20
Trained at
University of Washington School of Medicine
Licensed in
MN, OH
In the registry since
2007
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

775 Pole Line Rd W Ste 112
Twin Falls, ID 83301-5819
Phone: (208) 814-8200
Fax: (208) 933-4921
Show map & directions

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

Additional practice locations (1)

  • 473 W 12th Ave Ste 200, Columbus, OH 43210-1252 — (614) 293-8000

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 35.093591 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 49699 (MN)

Record details

NPI number1619096278
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESFebruary 28, 2019
Mailing address473 W 12th Ave Ste 200, Columbus, OH 43210-1252

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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