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

Matthew Dukelow

Individual provider Physician Assistant · NPI 1861174997

Matthew Dukelow is a Physician Assistant in Boise, Idaho. Qualified in 2025, 1 year ago. Practices with Alliance Medical Group LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2023
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Practice location Address checks out

6052 W State St
Boise, ID 83703-2739
Phone: (208) 344-7799
Fax: (208) 344-7152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7971574 (ID)

Record details

NPI number1861174997
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing addressPo Box 191050, Boise, ID 83719-1050

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Boise