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

Matthew L Divietro, DO

Individual provider Internal Medicine Physician · NPI 1427265867

Matthew L Divietro, DO is a Pulmonary Disease in Meridian, Idaho. Graduated from Philadelphia College of Osteopathic Medicine in 2006, 20 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
ID
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2347 E Gala St
Meridian, ID 83642-4881
Phone: (208) 323-3767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 W Fort St, Boise, ID 83702 — (208) 422-1000

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence O 0727 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence O 0727 (ID)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence O 0727 (ID)

Record details

NPI number1427265867
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2006 (20 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Meridian