St Lukes Clinic-Treasure Valley LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

03 Issued in ID

Legal business name

ST LUKES CLINIC-TREASURE VALLEY LLC

Practice address

190 E Bannock St
Boise, ID 83712-6241

Phone

(208) 381-2222

NPI assigned

Jul 15, 2011

Last updated

Apr 20, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ST LUKES HEALTH SYSTEM LTDAs reported in NPPES

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

Authorized official

Name

Kathryn Fowler

Title

Senior VP, Cfo

Phone

(208) 381-8717

Specialties & licenses 15

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID, OR, CO, UT, CA, WA, NY, PA, TX, FL, NC, WI, VA13 enrollments

Enrollment records 13

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• St Lukes Clinic-Treasure Valley LLC

  dba St Lukes RHC - Trinity Mountain

  • Family Medicine Physician
  • Mountain Home, ID
  • NPI 1417297821

  4981878402

  Same PAC ID
• St Lukes Clinic-Treasure Valley LLC

  dba St Lukes RHC - EOMA

  • Rural Health Clinic/Center
  • Baker City, OR
  • NPI 1336442607

  4981878402

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Lukes Clinic-Treasure Valley LLC

  dba St Lukes RHC - Trinity Mountain

  • Family Medicine Physician
  • Mountain Home, ID
  • NPI 1417297821

  O20111119000045

  Same enrollment
• St Lukes Clinic - Treasure Valley LLC

  dba St Lukes EOMA DME

  • Durable Medical Equipment & Medical Supplies
  • Baker City, OR
  • NPI 1871835538

  O20120420000013

  Same enrollment
• St Lukes Clinic-Treasure Valley LLC

  dba St Lukes RHC - EOMA

  • Rural Health Clinic/Center
  • Baker City, OR
  • NPI 1336442607

  O20120420000013

  Same enrollment

Part of

St Luke's Children's

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Lukes Regional Medical Center

  dba St Lukes Elmore Medical Center

  • Critical Access Hospital
  • Mountain Home, ID
  • NPI 1699013565

  Member Of

  NPD member

Locations (25 of 75)

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St Lukes Health System LTD

  dba St Lukes Verification Sure Scripts

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1275133944
  NPPES parent name

Practitioners 1,873

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kylie A Abe

  • Neurology Physician
  • Meridian, ID
  • NPI 1609238823
  Medicare reassignment Care Compare group NPD
• Daniel Clark Abenroth, M.D.

  • Vascular Neurology Physician
  • Boise, ID
  • NPI 1053678342
  Medicare reassignment Care Compare group NPD
• Grace Adamson, MD

  • Family Medicine Physician
  • Boise, ID
  • NPI 1497246136
  Medicare reassignment Care Compare group NPD
• Ricky Andres Aguayo-Ortega

  • Family Medicine Physician
  • Boise, ID
  • NPI 1780324483
  Medicare reassignment Care Compare group NPD
• Nichole Aker, DO

  • Family Medicine Physician
  • Boise, ID
  • NPI 1235583733
  Medicare reassignment Care Compare group NPD
• Saadia R Akhtar, MD

  • Pulmonary Disease Physician
  • Meridian, ID
  • NPI 1790823904

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Clint Will Allred, MD

  • Cardiovascular Disease Physician
  • Nampa, ID
  • NPI 1609190172

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Uday Jalal Hassan Aloka, M.D.

  • Psychiatry Physician
  • Meridian, ID
  • NPI 1730576505
  Medicare reassignment Care Compare group NPD
• Uzochukwu Amadi, MD

  • Internal Medicine Physician
  • Nampa, ID
  • NPI 1689961088

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Luciano Costa Amado, MD

  • Clinical Cardiac Electrophysiology Physician
  • Boise, ID
  • NPI 1205035961

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Alpha Tamir Anders, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Meridian, ID
  • NPI 1508493230
  Medicare reassignment Care Compare group NPD
• Amy Rose Anderson, NP

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1225797517
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1326336058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837010640",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES CLINIC-TREASURE VALLEY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES HEALTH SYSTEM LTD",
        "enumeration_date": "2011-07-15",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "SENIOR VP, CFO",
        "authorized_official_telephone_number": "208-381-8717"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "03",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "03",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326336058",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• St Luke's Regional Medical Center (St Luke's Cardiothoracic & Vascular Associates)
• St Luke's Regional Medical Center (St Luke's Idaho Endocrinology)
• St Luke's Regional Medical Center (St Luke's Clinic - Idaho Pediatric Gastroenterology)
• St Luke's Regional Medical Center
• St Luke's Regional Medical Center
• St Lukes Health System LTD (St Lukes Verification Sure Scripts)
• St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho
• St Lukes Regional Medical Center (St Luke's Humphreys Diabetes Center)
• St Lukes Regional Medical Center (St Lukes Internal Medicine)
• St Lukes Regional Medical Center (St Lukes Pediatric Endocrinology)

• Family Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.