P Praxis·MD
● Active Type 1 · Individual

Matthew L Divietro, DO

Internal Medicine·Meridian, ID· NPI 1427265867 · Enumerated 2007 · 19 years on NPI
Divietro is 1 of 18 internal medicine providers in Meridian and 1 of 67 in Idaho.
NPI age
19 years
Enumerated 2007-05-16
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-08-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 67 active internal medicine providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
2
In the 58% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
2347 E Gala St
Meridian, ID 836424881
📞 2083233767
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812222

Additional practice locations

1 secondary location on file with NPPES.

Location 2
500 W Fort St, # 111
Boise, ID 83702
📞 2084221000fax 2084221319

Specialties

  • Internal Medicine Primary
    An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
    ID license #O 0727 taxonomy 207RP1001X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    ID license #O 0727 taxonomy 207R00000X
  • Internal Medicine
    An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
    ID license #O 0727 taxonomy 207RC0200X

Practice context

Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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