SEAN PATRICK STROUP (M.D.) – Urology Physician, NPI 1083686117

SEAN PATRICK STROUP (M.D.) is a healthcare provider. based in San diego, California. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. A81753 (CA). The NPI Number for SEAN PATRICK STROUP (M.D.) is 1083686117

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
SEAN PATRICK STROUP (M.D.)
NPI
1083686117
Phone
(619) 532-7202
Address
12774 BROOKSIDE LN
Enumeration Date
2 February 2006
Last Update Date
19 May 2022

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
6800869561
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20220525002830
Address ID
ID836426352ME520XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,307 UROLOGY in CA

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Provider Addresses for SEAN PATRICK STROUP (M.D.)

  • 12774, Brookside Lane, San Diego, San Diego County, California, 92131, United States

    SAN DIEGO, CA 921314202

    Phone: (619) 532-7202

    Fax: (619) 532-7202

    Type: Mailing

  • 12774 Brookside Ln

    San Diego, CA 921314202

    Phone: (619) 532-7202

    Fax: (619) 532-7202

    Type: Location

  • 190 E BANNOCK ST

    BOISE, ID 837126241

    Phone:

    Fax: (619) 532-7202

    Type: Mailing

  • 510 N 2ND ST STE 103

    BOISE, ID 837026081

    Phone: (208) 381-4700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Laborie Medical Technologies Corp. ($89).

Total Amount

$116

General + Research + Ownership

Payments

3

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040819000713IUrologyCATBD
I20220525002830IUrologyIDTBD
I20251016003743IUrologyNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes153112$0
52000Diagnostic exam of bladder and urethra using an endoscope8667$0
99215Established patient office or other outpatient visit, 40-54 minutes7767$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4120$0
99204New patient office or other outpatient visit, 45-59 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 92131)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

Can I use this page to confirm SEAN PATRICK STROUP (M.D.)'s NPI?
Yes. SEAN PATRICK STROUP (M.D.) is listed with NPI 1083686117 in the public NPI dataset.
Can I rely on SEAN PATRICK STROUP (M.D.) being an active provider?
As of the registry snapshot, SEAN PATRICK STROUP (M.D.) is marked active.
What healthcare role does SEAN PATRICK STROUP (M.D.) hold?
Scheduling teams often label SEAN PATRICK STROUP (M.D.) under Urology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SEAN PATRICK STROUP (M.D.)?
SEAN PATRICK STROUP (M.D.)'s geographic hint is San Diego, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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