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ST LUKES IDAHO CARDIOLOGY ASSOCIATES
NPI 1306137633
Internal Medicine - Cardiovascular Disease in Nampa, ID

Active since April 20, 2011CLIA Certified · 4 labs
215 E HAWAII AVE, NAMPA, ID 83686(208) 322-1680 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Lukes Idaho Cardiology Associates NPPES

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

ST LUKES IDAHO CARDIOLOGY ASSOCIATES (NPI 1306137633) is a healthcare organization registered as a cardiovascular disease in Nampa, Idaho and active in the NPI registry since April 2011. The organization holds 4 active CLIA laboratory certificates and lists James A Mattes, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1306137633
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameST LUKES IDAHO CARDIOLOGY ASSOCIATES
Location Address215 E HAWAII AVENampa, ID 83686-6011
Mailing Address900 Sunset Dr, Po Box 3290La Grande, OR 97850-1362 · (541) 963-1555 · Fax (541) 963-1845
Phone(208) 322-1680
Organization SubpartYesParent: Grande Ronde Hospital, Inc
Authorized OfficialJames A MattesPresident/ceo · (541) 963-1454
Enumeration DateApril 20, 2011
✔ NPI 1306137633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OR · 140728
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
215 E HAWAII AVE, Nampa, ID 83686
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Other Identifiers 1

Medicare UPIN1368978ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2101842

St Luke's Idaho Cardiology Associates · Nampa, ID
Active · expires Sep 10, 2027
CLIA Number13D2101842
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorGary Mcomber
Laboratory Phone(208) 322-1680
Laboratory LocationSt Luke's Idaho Cardiology Associates9850 W St Lukes Dr #180, Nampa, ID 83687
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2061223

St Luke's Idaho Cardiology Associates · Meridian, ID
Active · expires Jun 24, 2027
CLIA Number13D2061223
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorGary Mcomber
Laboratory Phone(208) 322-1680
Laboratory LocationSt Luke's Idaho Cardiology Associates3525 E Louise Dr #400, Meridian, ID 83642
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D0951203

St Luke's Idaho Cardiology Associates · Boise, ID
Active · expires Apr 1, 2027
CLIA Number13D0951203
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorGary Mcomber
Laboratory Phone(208) 322-1680
Laboratory LocationSt Luke's Idaho Cardiology Associates300 E Jefferson St #101, Boise, ID 83712
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2030135

St Luke's Idaho Cardiology Associates · Eagle, ID
Active · expires Jan 10, 2027
CLIA Number13D2030135
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorGary Mcomber
Laboratory Phone(208) 322-1680
Laboratory LocationSt Luke's Idaho Cardiology Associates3101 E State St #1110, Eagle, ID 83616
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

APRIL MARIE NATION HAMILTON FNP-C
Nurse Practitioner (Family)
215 E HAWAII AVE
NAMPA, ID 83686
Canyon County (208) 463-3000
MICHAEL M DEE M.D.
Internal Medicine
215 E HAWAII AVE
NAMPA, ID 83686
Canyon County (208) 463-3234
DR. MARK SCOTT WILLIAMS D.O.
Family Medicine (Sports Medicine)
215 E HAWAII AVE
NAMPA, ID 83686
Canyon County (208) 463-3291
MRS. JEANNETTE E JAIN M.D.
Pediatrics
215 E HAWAII AVE
NAMPA, ID 83686
Canyon County (208) 468-5930
JOSEPH L PAPIEZ MD
Pediatrics
215 E HAWAII AVE
NAMPA, ID 83686
Canyon County (208) 468-5930
DR. RICHARD C BALLANTYNE DO
Surgery
215 E HAWAII AVE
NAMPA, ID 83686
Canyon County (208) 364-3000
TERRY H HERNANDEZ-RUELAS LCSW
Social Worker (Clinical)
215 E HAWAII AVE
NAMPA, ID 83686
Canyon County (208) 463-3000
MR. NEIL WALL RPH
Pharmacist
215 E HAWAII AVE
NAMPA, ID 83686
Canyon County (208) 466-7823

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 St Lukes Idaho Cardiology Associates's NPI number?

The NPI number for St Lukes Idaho Cardiology Associates is 1306137633. It was assigned to this organization in the NPPES registry on April 20, 2011.

Where is St Lukes Idaho Cardiology Associates located?

St Lukes Idaho Cardiology Associates is located at 215 E Hawaii Ave, Nampa, ID 83686. The listed phone number is (208) 322-1680.

What is St Lukes Idaho Cardiology Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does St Lukes Idaho Cardiology Associates hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St Lukes Idaho Cardiology Associates was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.