Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

St Lukes Regional Medical Center

Organization Family Medicine Physician · NPI 1053624759

St Lukes Regional Medical Center provides Family Medicine Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

1520 W State St Ste 100
Boise, ID 83702-4085 Not confirmed with CMS for 16 years — call before visiting
Phone: (208) 947-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 03 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 03 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence 03 (ID)

Record details

NPI number1053624759
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Lukes Regional Medical Center
Authorized official John Kee — Vp Physician Services · (208) 381-5329
Other names St Lukes Clinic - Capital City Family Medicine
NPI enumeratedJuly 22, 2010
Last updated in NPPESJuly 22, 2010
Mailing address1520 W State St, Ste 100, Boise, ID 83702-4085

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