NPI age
19 years
Enumerated 2006-11-10
● Active
Type 1 · Individual
Ginger L. Dattilo, M.D.
Dattilo is 1 of 1 internal medicine providers in Bellevue and 1 of 504 in Idaho.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
OR, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-05-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 504 active internal medicine providers in Idaho.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 44% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
111 Ridgview Dr.
Bellevue, ID 833130828
Mailing address
Po Box 828
Bellevue, ID 833130828
Specialties
-
Internal Medicine PrimaryA 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,...
-
Internal MedicineAn internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 272459 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share 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.