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

Tara Marie Davidson, MD

Individual provider Internal Medicine Physician · NPI 1164085452

Tara Marie Davidson, MD is an Internal Medicine in Boise, Idaho. Qualified in 2019, 7 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho, Minnesota and Texas.

Years since qualifying
7
Licensed in
ID, MN, TX
In the registry since
2019
Specialties on file
4
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

100 E Idaho St
Boise, ID 83712-6267
Phone: (208) 381-2711
Fax: (208) 381-4025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3884 S Morningwind Ave, Boise, ID 83706-5900 — (208) 761-0263
  • 200 1st St Sw, Rochester, MN 55905-0002 — (507) 284-2511
  • 1515 Holcombe Blvd, Houston, TX 77030-4000 — (713) 792-6161

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence U2470 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 67727 (MN)
Medical Oncology Physician Taxonomy 207RX0202X · Licence 7271557 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 30238 (MN)

Record details

NPI number1164085452
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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