Active NPI
Luther F Cobb, M.D.
- Vascular Surgery Physician
- Eureka, CA
National Provider Identifier
1386668481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- G42522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G425221 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081121000609 | CA | Practitioner - General Surgery | 4183784077 | Practice locations: Eureka, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General 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
- Providence St Joseph Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.03 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 86.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 186 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 13 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Health System, Inc | Past | Accepting new patients | |
| Saint Joseph Hospital Pharmacy | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- Pharmacist
- Lexington, KY
- NPI 1023142940
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arcata, CA
- NPI 1518996040
-
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.