LARRY FIORENTINO (MD) – Hematology & Oncology Physician, NPI 1528086402

LARRY FIORENTINO (MD) is a healthcare provider. based in Nampa, Idaho. specializing in Hematology & Oncology Physician. They hold the professional credentials MD. They hold a License No. M8132 (ID). The NPI Number for LARRY FIORENTINO (MD) is 1528086402

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
LARRY FIORENTINO (MD)
NPI
1528086402
Phone
(208) 467-6700
Address
308 E HAWAII AVE
Enumeration Date
18 July 2006
Last Update Date
2 March 2011

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
2084676700
Graduation Year
1995 (31 years ago)
PAC ID
5193851251
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20100327000426
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LARRY FIORENTINO (MD)

  • 308, East Hawaii Avenue, Nampa, Canyon County, Idaho, 83686, United States

    NAMPA, ID 836866013

    Phone: (208) 467-6700

    Type: Location

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100327000426IMedical OncologyIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83686)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

How do I look up LARRY FIORENTINO (MD) by NPI?
Use NPI 1528086402 when you need to reference LARRY FIORENTINO (MD) in forms, claims, or directories.
Is LARRY FIORENTINO (MD) active in the national directory?
LARRY FIORENTINO (MD)'s public NPI profile is in an active state.
What field does LARRY FIORENTINO (MD) work in?
You can think of LARRY FIORENTINO (MD) as practicing within Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place LARRY FIORENTINO (MD)?
The snapshot lists Nampa, Idaho for LARRY FIORENTINO (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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