Ginger L. Dattilo, M.D.
NPI 1639240864ActiveIndividual· Internal Medicine· Bellevue, ID
Internal Medicine (M.D.) in Bellevue, Idaho, trained at University of Louisville School of Medicine (class of 1981). Medicare paid $3,549 for services to 30 patients in 2024.
Overview
| NPI | 1639240864 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 10, 2006 |
| Last updated in NPPES | May 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD20663 | OR |
| Internal Medicine, Geriatric Medicine | 207RG0300X | 43963 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (ID); Practitioner - Hospitalist (MT); Practitioner - Internal Medicine (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 31 across 3 procedure codes |
| Paid by Medicare | $3,549 |
Education and affiliations
| Medical school | University of Louisville School of Medicine |
|---|---|
| Graduation year | 1981 |
| Medicare specialty | Hospitalist |
| Secondary specialties | Internal Medicine |
Medical group
- St Lukes Clinic - Wood River LLCKetchum, ID · 66 clinicians
Hospital affiliation
- St Luke's Nampa Medical CenterNampa, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records