Active NPI
Sean Patrick Stroup, M.D.
- Urology Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- M-15955
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A81753 | Other | CA | STATE |
| MD448962 | Other | PA | STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NM, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
- Oroville Hospital
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
- Oroville Hospital
- St Luke'S Regional Medical Center
- Good Shepherd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81753 | CA | MD | Pharmacist |
| A81753 | CA | MD | Urology Physician |
| M-15955 | ID | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Urology | Current | Accepting new patients |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Orohealth Corporation a Non Profit Healthcare System | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| United Urology Consultants, P.C. | Urology | Current | 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
- 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.
-
- Vascular Surgery Physician
- Las Cruces, NM
- NPI 1093947491
-
- Family Medicine Physician
- Oroville, CA
- NPI 1013933167
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Urology Physician
- La Mesa, CA
- NPI 1295210029
-
- Cardiovascular Disease Physician
- Las Cruces, NM
- NPI 1346586195
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.