Active NPI
Luke William O'Rourke, D.O.
- Obstetrics & Gynecology Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- O-1563
- Practice address
- 2990 Cortez Ave
Idaho Falls, ID 83404-7554 - Phone
- (208) 535-0440
- Fax
- (208) 535-0550
- NPI assigned
- Mar 22, 2010
- Last updated
- Jun 13, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO166693 | OR | |
| Obstetrics & Gynecology Physician | 207V00000X | O-1563 | ID | Primary |
Addresses
Primary practice location
2990 Cortez Ave
Idaho Falls, ID 83404-7554
Mailing address
2990 Cortez Ave
Idaho Falls, ID 83404-7554
Phone (208) 535-0440
Other practice location 1
330 S Garden Way
Suite 220
Eugene, OR 97401-8176
Phone (541) 686-7007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500673955 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2990 Cortez Ave
Idaho Falls, ID 83404-7554
Phone (208) 535-0440
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1563 | ID | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Healthcare PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Oregon Healthcare Resources, LLC | Current | Accepting new patients |
Locations
2060 S Woodruff Ave
Idaho Falls, ID 83404
Phone (208) 523-7246
2990 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 535-0440
330 S Garden Way
Ste 220
Eugene, OR 97401
Phone (541) 686-7007
2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCHJDD
- lorourke@yourcarecommunity.org
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Idaho Falls, ID
- NPI 1346653862
-
dba Oregon Medical Group
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1336463108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 CORTEZ AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047554",
"telephone_number": "208-535-0440",
"fax_number": "208-535-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 CORTEZ AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047554",
"telephone_number": "208-535-0440",
"fax_number": "208-535-0550"
}
],
"practiceLocations": [
{
"address_1": "330 S Garden Way",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974018176",
"country_code": "US",
"telephone_number": "541-686-7007",
"fax_number": "541-684-3074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'ROURKE",
"first_name": "LUKE",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "DO166693",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "O-1563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500673955",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
- Nurturing Connections Therapeutic Services LLC
- Gjori Nykreim
- Patrick J O'Bannon
- Brian E O'Byrne, MD
- John Patrick O'Neal, LCPC
- Alicia Oakes, LMSW
- Abigail Oakley, LCPC
- Oakstead Infusion Pharmacy of Idaho, LLC (Vital Care of Eastern Idaho)
- Oakstone Hospice LLC
- Obstetrics and Gynecology Associates of Idaho Falls (OB-GYN Assoc of Idaho Falls)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.