Idaho Allergy & Asthma Clinic PA
NPI 1003949298 · Allergy & Immunology Physician · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Allergy & Asthma Clinic PA is a Allergy & Immunology Physician organization in Idaho Falls, ID (NPI 1003949298).
Provider details
- NPI number
- 1003949298
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendell Petty, President(208) 529-9292
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2019-06-21
Frequently asked questions
- What is Idaho Allergy & Asthma Clinic PA's NPI number?
- Idaho Allergy & Asthma Clinic PA's National Provider Identifier (NPI) is 1003949298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Allergy & Asthma Clinic PA?
- Idaho Allergy & Asthma Clinic PA is classified in the NPPES registry as Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Allergy & Asthma Clinic PA located?
- Idaho Allergy & Asthma Clinic PA's practice location on file with NPPES is 3422 S 15th E, Idaho Falls, ID 83404-8262.
- What is Idaho Allergy & Asthma Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Idaho Allergy & Asthma Clinic PA is (208) 529-9292.
- Does Idaho Allergy & Asthma Clinic PA accept Medicare?
- Idaho Allergy & Asthma Clinic PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Idaho Allergy & Asthma Clinic PA?
- The authorized official listed on Idaho Allergy & Asthma Clinic PA's NPPES record is Wendell Petty, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Allergy & Asthma Clinic PA's NPI active?
- Yes — Idaho Allergy & Asthma Clinic PA's NPI (1003949298) is active in the NPPES registry as of the last update on 2019-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.