LUKE ST. JOHN
NPI 1023753571
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 29, 2022PECOS Enrolled
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME, 1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-8401(503) 413-7361 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2023, Apr 29, 2022 (2 updates tracked since 2022).

About Luke St. John NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUKE ST. JOHN (NPI 1023753571) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023753571
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUKE ST. JOHN
Location AddressLEGACY GOOD SAMARITAN MEDICAL CENTER- GME, 1015 NW 22ND AVEPortland, OR 97210
Mailing AddressLegacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd AvePortland, OR 97210 · (503) 413-8401 · Fax (503) 413-7361
Fax(503) 413-7361
Sole ProprietorYes
Enumeration DateApril 29, 2022
Last NPPES UpdateApril 7, 20232 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
NPI 1023753571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME, Portland, OR 97210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luke St. John is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME, 1015 NW 22ND AVE
PORTLAND, OR 97210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luke St. John's NPI number?

The NPI number for Luke St. John is 1023753571. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Luke St. John located?

Luke St. John practices at Legacy Good Samaritan Medical Center- Gme 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-8401.

What is Luke St. John's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luke St. John enrolled in Medicare?

Yes. Luke St. John is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luke St. John was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.