ST LUKES MOUNTAIN STATES UROLOGY
NPI 1780793596
Urology in Meridian, ID
NPI Status: Active since August 29, 2006
Contact Information
520 S EAGLE RD
STE 3112
MERIDIAN, ID
ZIP 83642
Phone: (208) 706-5800
- Organization
- Urology
- CLIA Number: 13D0521689
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-10-2027
About ST LUKES MOUNTAIN STATES UROLOGY
This page provides the complete NPI Profile along with additional information for St Lukes Mountain States Urology, a provider established in Meridian, Idaho operating as a Urology. The healthcare provider is registered in the NPI registry with number 1780793596 assigned on August 2006. The practitioner's primary taxonomy code is 208800000X with license number 03 (ID). The provider is registered as an organization and their NPI record was last updated 10 years ago. St Lukes Mountain States Urology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St Lukes Mountain States Urology. The authorized official of this NPI record is Jeff Taylor (Sr Vp/cfo)
- NPI
- 1780793596
- Provider Legal Name
- ST LUKE'S REGIONAL MEDICAL CENTER
- Other Organization Name
- ST LUKES MOUNTAIN STATES UROLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 520 S EAGLE RD STE 3112 MERIDIAN, ID 83642
- Location Phone
- (208) 706-5800
- Mailing Address
- PO BOX 640 BOISE, ID 83701
- Mailing Phone
- (208) 381-2222
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-29-2006
- Last Update Date
- 09-30-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 03
- License State
- ID
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2088F0040X | Allopathic & Osteopathic Physicians | Urology | 03 (ID) |
| 2 | 2088P0231X | Allopathic & Osteopathic Physicians | Urology | 03 (ID) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1250908 | MEDICARE PIN (08) | ID |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0521689
- Facility Type
- Physician Office
- Certificate Effective Date
- February 11, 2025
- Certificate Expiration Date
- February 10, 2027
- Laboratory Director
- CRAIG SPENCER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to St Lukes Mountain States Urology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780793596, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MERIDIAN, ID 83642
MERIDIAN, ID 83642
MERIDIAN, ID 83642
MERIDIAN, ID 83642
MERIDIAN, ID 83642
MERIDIAN, ID 83642
MERIDIAN, ID 83642
MERIDIAN, ID 83642
MERIDIAN, ID 83642
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780793596, enumerated as an "organization" on August 29, 2006.
The provider is located at 520 S EAGLE RD STE 3112 MERIDIAN, ID 83642 and the phone number is (208) 706-5800.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
