NPI age
21 years
Enumerated 2005-05-24
● Active
Type 1 · Individual
DR. Randal Lee Wraalstad, D.P.M.
Wraalstad is 1 of 5 podiatrist providers in Twin Falls and 1 of 67 in Idaho.
Primary specialty
Podiatrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 67 active podiatrist providers in Idaho.
NPI age
21 years
↑ 7 yr above median (14 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-05Enumerated in NPPES
2005
2026
Where they practice
Practice location
762 N College Rd Ste A
Twin Falls, ID 833015392
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 804243900 | |
| 01 (ID) | P00899555 | MCRR |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.