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Michael Massaro, DO

Internal Medicine in Twin Falls, ID. Individual provider (NPI-1).

NPI number1043897481
StatusActive
Last updated in NPPESJul 1, 2026

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 codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine7971137IDYes
207R00000X Internal Medicine02007224AIN

Practice location

801 Pole Line Rd W
Twin Falls, ID 83301-5799

Phone 208-814-4100 · Fax 208-814-4908

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

8414 Naab Rd Ste 100
Indianapolis, IN 46260-1972

Phone 317-338-7510 · Fax 317-338-7539

2001 W 86th St
Indianapolis, IN 46260-1902

Phone 317-338-2345

190 E Bannock St
Boise, ID 83712-6241

Phone 208-381-5015 · Fax 208-381-1873

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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.

Other Internal Medicine Physician providers in Twin Falls, ID

All 23 Internal Medicine Physician providers in Twin Falls · All 2,311 providers in Twin Falls

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