Albert Aquinas Darakjy
Physician Assistant in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1669953675
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1669953675
- Entity type
- Individual (NPI-1)
- Name
- Albert Aquinas Darakjy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2018
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1820 | ID | Yes |
Practice location
3700 W Seltice WayCoeur D Alene, ID 83814-8921
Phone 208-620-5255
Mailing address
Po Box 1387Hayden, ID 83835-1387
Other practice locations
4311 11th Ave Ne Ste 200
Seattle, WA 98105-6367
Seattle, WA 98105-6367
Phone 206-616-4001
413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Boise, ID 83704-9219
Phone 208-323-1125 · Fax 208-323-9604
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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.
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All 78 Physician Assistant providers in Coeur D Alene · All 2,988 providers in Coeur D Alene
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