NPIMap

Individual provider Active NPI

John Seth Lukens, MD

  • Family Medicine Physician
  • Orofino, ID
National Provider Identifier
1801089834
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M13875 Issued in ID
Practice address
301 Cedar St
Orofino, ID 83544-9029
Phone
(208) 476-4555
Fax
(208) 476-5385
NPI assigned
Aug 23, 2007
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X M13875 ID Primary

Addresses

Primary practice location

301 Cedar St
Orofino, ID 83544-9029

Mailing address

11234 Anderson St
Llumc, House Staff Office CP 21005
Loma Linda, CA 92354-2804

Other identifiers 1

IdentifierTypeStateIssuer
1801089834MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026001072 ID Practitioner - Family Practice 3870771140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearwater Valley Hospital and ClinicsGroup PAC ID 0547173346, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

301 Cedar St
Orofino, ID 83544-9029
Phone (208) 476-5777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M13875IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Oct 1, 2017 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Nov 9, 2025 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Family Medicine Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine Past Accepting new patients
Loma Linda Univ Family Medical Group Inc. Family Medicine Past Accepting new patients

Locations

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

Interoperability endpoints

  • Direct secure messaging: sethlukens@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: sethlukens@cvhsmh.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1801089834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "LLUMC, HOUSE STAFF OFFICE CP 21005",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CEDAR ST",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449029",
            "telephone_number": "208-476-4555",
            "fax_number": "208-476-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKENS",
        "first_name": "JOHN",
        "middle_name": "SETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M13875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801089834",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orofino, ID

Sources for this page

Verify at the official NPI Registry.