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

Michael Joseph Hagan, MD

Individual provider Internal Medicine Physician · NPI 1093277014

Michael Joseph Hagan, MD is an Internal Medicine in Boise, Idaho. Graduated from Creighton University School of Medicine in 2019, 7 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
7
Trained at
Creighton University School of Medicine
Licensed in
ID, UT
In the registry since
2019
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) 381-5015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 — (801) 581-7606

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence M-16384 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 11885646-1205 (UT)

Record details

NPI number1093277014
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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