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

Mr. Ismael Grachico II, MD

Individual provider Surgery Physician · NPI 1881055705

Mr. Ismael Grachico II, MD practises General Surgery in Twin Falls, Idaho. Graduated from Eastern Virginia Medical School in 2016, 10 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
10
Trained at
Eastern Virginia Medical School
Licensed in
ID, OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

775 Pole Line Rd W Ste 212
Twin Falls, ID 83301-5820
Phone: (208) 814-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Nw 6th St, Grants Pass, OR 97526-1094 — (541) 474-5533

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M-16804 (ID)
Surgery Physician Taxonomy 208600000X · Licence MD250761 (OR)

Record details

NPI number1881055705
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2016
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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