Michael Massaro, DO
Internal Medicine in Twin Falls, ID. Individual provider (NPI-1).
Details
- NPI
- 1043897481
- Entity type
- Individual (NPI-1)
- Name
- Michael Massaro
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2021
- Certification date
- Jul 1, 2026
- Last updated
- Jul 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 7971137 | ID | Yes |
| 207R00000X | Internal Medicine | 02007224A | IN |
Practice location
801 Pole Line Rd WTwin Falls, ID 83301-5799
Phone 208-814-4100 · Fax 208-814-4908
Mailing address
190 E Bannock StBoise, ID 83712-6241
Other practice locations
Indianapolis, IN 46260-1972
Phone 317-338-7510 · Fax 317-338-7539
Indianapolis, IN 46260-1902
Phone 317-338-2345
Boise, ID 83712-6241
Phone 208-381-5015 · Fax 208-381-1873
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 23 Internal Medicine Physician providers in Twin Falls · All 2,311 providers in Twin Falls
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