SUDHA SUBRAMANYAM MD
NPI 1104481555
Family Medicine in Nampa, ID

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
9850 W ST LUKES DR, NAMPA, ID 83687(208) 205-7282 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2022, May 1, 2019 (2 updates tracked since 2019).

About Sudha Subramanyam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUDHA SUBRAMANYAM MD (NPI 1104481555) is an individual family medicine provider in Nampa, Idaho, licensed in Idaho (M15981) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Nampa.

NPPES Registry Identity

NPI1104481555
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUDHA SUBRAMANYAMCredential: MD
Location Address9850 W ST LUKES DRNampa, ID 83687-7912
Mailing Address190 E Bannock StBoise, ID 83712-6241 · Fax (208) 375-2217
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 1, 2019
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
NPI 1104481555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ID · M15981 Licensed in ID · MRM-1815
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9850 W ST LUKES DR, Nampa, ID 83687

Secondary Practice Location 1

Location 1215 E Hawaii AveNampa, ID 83686-6011 · Phone (208) 514-2529 · Fax (208) 375-2217

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sudha Subramanyam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052648524
PECOS Enrollment IDI20220811000845
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
275 services133 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
141 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
113 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
73 services72 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83687 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$17.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$80.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
9850 W ST LUKES DR
NAMPA, ID 83687
Social Worker (Clinical)
9850 W ST LUKES DR
NAMPA, ID 83687
Nurse Practitioner
9850 W ST LUKES DR
NAMPA, ID 83687
Pharmacist
9850 W ST LUKES DR
NAMPA, ID 83687
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9850 W ST LUKES DR
NAMPA, ID 83687
Family Medicine
9850 W ST LUKES DR
NAMPA, ID 83687
Orthopaedic Surgery
9850 W ST LUKES DR
NAMPA, ID 83687
Obstetrics & Gynecology
9850 W ST LUKES DR
NAMPA, ID 83687

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudha Subramanyam's NPI number?

The NPI number for Sudha Subramanyam is 1104481555. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Sudha Subramanyam located?

Sudha Subramanyam practices at 9850 W St Lukes Dr, Nampa, ID 83687. The listed phone number is (208) 205-7282.

What is Sudha Subramanyam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sudha Subramanyam enrolled in Medicare?

Yes. Sudha Subramanyam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sudha Subramanyam accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Sudha Subramanyam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sudha Subramanyam affiliated with any hospitals?

According to CMS data, Sudha Subramanyam is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Sudha Subramanyam was last updated on June 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.