Active NPI
Luke Sugden, DO
- Family Medicine Physician
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O-1319
- Practice address
- 738 N College Rd Ste C
Twin Falls, ID 83301-3387 - Phone
- (208) 814-5075
- NPI assigned
- May 15, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 96914 | MT | |
| Family Medicine Physician | 207Q00000X | MRO-1730 | ID | |
| Family Medicine Physician | 207Q00000X | O-1319 | ID | Primary |
Addresses
Primary practice location
738 N College Rd Ste C
Twin Falls, ID 83301-3387
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
123 S 27th St
Billings, MT 59101-4227
Phone (406) 247-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
132 5TH Ave W
Suite 1/2
Jerome, ID 83338-1825
Phone (208) 814-9800
714 N College Rd
Twin Falls, ID 83301-5812
746 N College Rd
Twin Falls, ID 83301-3486
Hospital & facility affiliations
- St Lukes Magic Valley Medical Center
- St Luke'S Jerome
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.09 of 100
- Quality
- 77.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96914 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Clinic LLC | Family Medicine | Current | Accepting new patients |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients |
Locations
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
738 N College Rd
Ste C
Twin Falls, ID 83301
Phone (208) 814-7100
746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Twin Falls, ID
- NPI 1790718229
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jerome, ID
- NPI 1366874877
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1760972780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 N COLLEGE RD STE C",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013387",
"telephone_number": "208-814-5075"
}
],
"practiceLocations": [
{
"address_1": "123 S 27th St",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591014227",
"country_code": "US",
"telephone_number": "406-247-3350",
"fax_number": "064-247-3389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUGDEN",
"first_name": "LUKE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-15",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "96914",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "MRO-1730",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O-1319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.