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

Dr. Mark Robert Urban, MD

Individual provider Pediatrics Physician · NPI 1508043001

Dr. Mark Robert Urban, MD is an Emergency Medicine in Boise, Idaho. Graduated from Louisiana State University School of Medicine in Shreveport in 2006, 20 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
AZ
In the registry since
2008
Specialties on file
2
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

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 80808 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 80808 (AZ)

Record details

NPI number1508043001
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 28, 2008
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021
Mailing address4195 N Bodenheimer St, Boise, ID 83703-4201

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2006 (20 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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