Individual provider Active NPI

Sean Patrick Stroup, M.D.

  • Urology Physician
  • Boise, ID
National Provider Identifier
1083686117
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M-15955 Issued in ID
Practice address
510 N 2ND St Ste 103
Boise, ID 83702-6081
Phone
(208) 381-4700
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A81753 CA
Urology Physician 208800000X M-15955 ID Primary

Addresses

Primary practice location

510 N 2ND St Ste 103
Boise, ID 83702-6081

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

12774 Brookside Ln
San Diego, CA 92131-4202
Phone (619) 532-7202

Other identifiers 2

IdentifierTypeStateIssuer
A81753OtherCASTATE
MD448962OtherPASTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040819000713 CA Practitioner - UrologyPractitioner - Emergency Medicine 6800869561 Reassigns benefits to 3 organizations
I20251016003743 NM Practitioner - Urology 6800869561 Reassigns benefits to 1 organization
I20260504007077 OR Practitioner - Urology 6800869561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loyola University of Chicago, Stritch School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Las Cruces Physician Practices, LLCGroup PAC ID 7618974858, 107 clinicians
Oroville HospitalGroup PAC ID 1254234339, shared by 14 NPIs, 93 clinicians
Orohealth Corporation a Non Profit Healthcare SystemGroup PAC ID 4082501192, 126 clinicians
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians

Practice addresses (Care Compare)

2735 Northrise Dr
Las Cruces, NM 88011-0897
Phone (575) 521-2462

2767 Olice Hwy
Oroville, CA 95966-6118
Phone (530) 533-8500

2767 Olive Hwy
Oroville, CA 95966-6118

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81753CAMDPharmacist
A81753CAMDUrology Physician
M-15955IDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Mar 9, 2017 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Urology CurrentSince May 19, 2022 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Aug 25, 2025 Accepting new patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince Dec 1, 2025 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Aug 25, 2025 Accepting new patients
United Urology Consultants, P.C. Urology CurrentSince Oct 15, 2018 Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

2767 Olive Hwy
#220
Oroville, CA 95966
Phone (530) 532-8544

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

510 N 2nd St
Ste 103
Boise, ID 83702
Phone (208) 381-4700

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

2735 Northrise Dr
Las Cruces, NM 88011
Phone (505) 532-4344

Interoperability endpoints

  • Direct secure messaging: sean.stroup.1@19849.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1083686117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "fax_number": "619-532-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N 2ND ST STE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026081",
            "telephone_number": "208-381-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12774 Brookside Ln",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921314202",
            "country_code": "US",
            "telephone_number": "619-532-7202",
            "fax_number": "619-532-7202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUP",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A81753",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ID",
            "license": "M-15955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "A81753",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "MD448962",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.