Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dustin Blake Porter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205178399

Dustin Blake Porter is a General Surgery in Burley, Idaho. Graduated from University of Louisville School of Medicine in 2018, 8 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Trained at
University of Louisville School of Medicine
Licensed in
ID
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Burley, ID

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 550 S Jackson St, Louisville, KY 40202-1622 — (502) 852-6191

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M-14207 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205178399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2013
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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