NPIMap

Individual provider Active NPI

Luke William Omohundro, MD

  • Family Medicine Physician
  • Bozeman, MT
National Provider Identifier
1235234469
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9550 Issued in MT
Practice address
935 Highland Blvd Ste 2200
Bozeman, MT 59715-6915
Phone
(406) 414-5700
Fax
(406) 414-4768
NPI assigned
Sep 13, 2006
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9550 MT Primary

Addresses

Primary practice location

935 Highland Blvd Ste 2200
Bozeman, MT 59715-6915

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other identifiers 2

IdentifierTypeStateIssuer
080160674OtherMTRAILROAD MEDICARE
0026605MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lomohundro7291097@direct.sanfordhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000100 MT Practitioner - Family Practice 2769577154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

925 Highland Blvd
Bozeman, MT 59715-6900

925 Highland Blvd
Suite 1220
Bozeman, MT 59715-6905
Phone (406) 414-3780

935 Highland Blvd
Suite 2200
Bozeman, MT 59715-6915
Phone (406) 414-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9550MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2016 Accepting new patients
Belgrade Clinic PLLP Family Medicine Current Accepting new patients
Family Practice Associates PC Current Accepting new patients
Bozeman Health Deaconess Hospital Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Bozeman Health Urgent Care PastSince Jan 1, 2015 Accepting new patients
Family Doctors Urgent Care LLC Family Medicine PastSince Dec 26, 2012 Accepting new patients

Locations

120 N 19th Ave
Ste A
Bozeman, MT 59718
Phone (406) 556-9740

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3220
Bozeman, MT 59715
Phone (406) 414-5336

935 Highland Blvd
Ste 2200
Bozeman, MT 59715
Phone (406) 219-3311

935 Highland Blvd
Ste 2210
Bozeman, MT 59715
Phone (406) 414-3133

Interoperability endpoints

  • Direct secure messaging: lomohundro7291097@direct.sanfordhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1235234469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 HIGHLAND BLVD STE 2200",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156915",
            "telephone_number": "406-414-5700",
            "fax_number": "406-414-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOHUNDRO",
        "first_name": "LUKE",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "9550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080160674",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026605",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lomohundro7291097@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "935 Highland Blvd Ste 2200",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.