Individual provider Active NPI

Luther F Cobb, M.D.

  • Vascular Surgery Physician
  • Eureka, CA
National Provider Identifier
1386668481
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G42522 Issued in CA
Practice address
636 Harris St Ste a
Eureka, CA 95503-4448
Phone
(707) 476-0688
Fax
(707) 476-0692
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G42522 CA Primary

Addresses

Primary practice location

636 Harris St Ste a
Eureka, CA 95503-4448

Mailing address

PO Box 990208
Redding, CA 96099-0208
Phone (530) 212-0073

Other identifiers 1

IdentifierTypeStateIssuer
00G425221MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081121000609 CA Practitioner - General SurgeryPractitioner - Thoracic Surgery 4183784077 Practice locations: Eureka, CA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery
Education
Stanford University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

636 Harris St
Eureka, CA 95503-4448
Phone (707) 476-0690

Hospital & facility affiliations

  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028
  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006

Merit-based Incentive Payment System (MIPS)

Final score
26.03 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy186
Hernia repair - groin (open)1-10
Mastectomy13
Upper gastrointestinal (GI) endoscopy for acid reflux73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Health System, Inc Past Accepting new patients
Saint Joseph Hospital Pharmacy Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: luther.cobb@2576167534596.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1386668481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990208",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960990208",
            "telephone_number": "530-212-0073",
            "fax_number": "844-440-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 HARRIS ST STE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034448",
            "telephone_number": "707-476-0688",
            "fax_number": "707-476-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "LUTHER",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G42522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G425221",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.