Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Erik David Sibbernsen, MD

Individual provider Internal Medicine Physician · NPI 1750791471

Dr. Erik David Sibbernsen, MD is an Internal Medicine in Eagle, Idaho. Graduated from University of Utah School of Medicine in 2014, 12 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho, Indiana and Oregon.

Years since qualifying
12
Trained at
University of Utah School of Medicine
Licensed in
ID, IN, OR
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3101 E State St Ste 2120
Eagle, ID 83616-6232
Phone: (208) 473-3275
Fax: (208) 473-3276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence M-17816 (ID)
Military Health Care Provider Taxonomy 171000000X · Licence 01075639A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PG168052 (OR)

Record details

NPI number1750791471
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2014
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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