ST LUKES CLINIC - WOOD RIVER LLC
NPI 1972891604
Internal Medicine in Ketchum, ID
About St Lukes Clinic - Wood River Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST LUKES CLINIC - WOOD RIVER LLC (NPI 1972891604) is a healthcare organization registered as an internal medicine in Ketchum, Idaho and active in the NPI registry since July 2011. The organization lists Kathryn Fowler, Senior Vp, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St Lukes Clinic - Wood River Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
74Medicare enrollment records show 74 clinicians reassign Medicare billing to St Lukes Clinic - Wood River LLC, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 74Ketchum, ID 83340
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clinic - Wood River LLC's NPI number?
The NPI number for St Lukes Clinic - Wood River LLC is 1972891604. It was assigned to this organization in the NPPES registry on July 15, 2011.
Where is St Lukes Clinic - Wood River LLC located?
St Lukes Clinic - Wood River LLC is located at 100 Hospital Drive, Ketchum, ID 83340. The listed phone number is (208) 727-8100.
What is St Lukes Clinic - Wood River LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is St Lukes Clinic - Wood River LLC enrolled in Medicare?
Yes. St Lukes Clinic - Wood River LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Lukes Clinic - Wood River LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 17 Medicare specialties reassign their Medicare billing to St Lukes Clinic - Wood River LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (15), Emergency Medicine (13) and Certified Registered Nurse Anesthetist (CRNA) (7). Of these, 19 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does St Lukes Clinic - Wood River LLC accept?
Health plans from Moda Health Plan, Inc. list St Lukes Clinic - Wood River LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for St Lukes Clinic - Wood River LLC was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# St Lukes Clinic - Wood River Llc · NPI 1972891604
Internal Medicine organization in Ketchum, Idaho. Organization record, active in the CMS NPPES registry since July 15, 2011.
## Identity
- **NPI:** 1972891604 (Entity type: Organization)
- **Enumerated:** July 15, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** Yes (part of St Lukes Medical Center Woodriver Ltd)
- **Authorized official:** Kathryn Fowler, SENIOR VP, CFO
## Practice location
- **Address:** 100 HOSPITAL DRIVE, Ketchum, ID 83340-9999
- **Phone:** (208) 727-8100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 74 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (15), Emergency Medicine (13), Certified Registered Nurse Anesthetist (CRNA) (7); 19 practice at this address and 23 within 10 miles; [full list](https://npiprofile.com/npi/1972891604/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972891604) · Data from the CMS NPPES public registry.