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

Petar G Igic, MD

Individual provider Cardiovascular Disease Physician · NPI 1053365494

Petar G Igic, MD is a Cardiac Electrophysiology in Boise, Idaho. Qualified in 1999, 27 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Wisconsin.

Years since qualifying
27
Licensed in
ID, WI
In the registry since
2006
Specialties on file
3
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

6140 W Curtisian Ave Ste 200
Boise, ID 83704-0107
Phone: (208) 302-0000
Fax: (208) 302-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence M-17812 (ID)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 49209-20 (WI)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence 49209-020 (WI)

Record details

NPI number1053365494
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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