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

Tomas Jon Scoleri

Individual provider Physician Assistant · NPI 1265167019

Tomas Jon Scoleri is a Physician Assistant in Twin Falls, Idaho. Qualified in 2022, 4 years ago. Practices with Acute Care Surgery Medical Group Inc, a 202-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

775 Pole Line Rd W Ste 213
Twin Falls, ID 83301-5820
Phone: (208) 814-8475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Pole Line Rd W, Twin Falls, ID 83301-5810 — (208) 814-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2303 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1265167019
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 17, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Acute Care Surgery Medical Group Inc — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Twin Falls