1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Pediatrics
  6. NPI Profile

SHANA L TUBACH MD
NPI 1205879483
Pediatrics in Boise, ID

Active since June 14, 2006PECOS Enrolled
1072 N LIBERTY ST, SUITE 203, BOISE, ID 83704(208) 302-5800(208) 302-5855 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shana L Tubach Md NPPES

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

SHANA L TUBACH MD (NPI 1205879483) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (M-8077) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205879483
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANA L TUBACHCredential: MD
Location Address1072 N LIBERTY ST, SUITE 203Boise, ID 83704-8708
Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 302-5800 · Fax (208) 302-5855
Phone(208) 302-5800
Fax(208) 302-5855
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateNovember 10, 2016
✔ NPI 1205879483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in ID · M-8077✔ Licensed in ID · M8077
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1072 N LIBERTY ST, Boise, ID 83704
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN11443371ID
Medicaid805784500ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shana L Tubach Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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.

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.

BRUCE J ANDERSEN MD
Neurological Surgery
1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704
Ada County (208) 367-4035
COLIN ALAN LYNESS MD
Psychiatry & Neurology (Neurology)
1072 N LIBERTY ST, STE 303
BOISE, ID 83704
Ada County (208) 302-4200
DR. JULIANA L DIGIOSIA MD
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 302-1200
DR. REBECCA L MCCAFFREY MD
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 302-1200
TREASURE VALLEY COLON & RECTAL CLINIC PLLC
Colon & Rectal Surgery
1072 N LIBERTY ST, SUITE 201
BOISE, ID 83704
Ada County (208) 377-2273
KARISSA DEANN KEENAN M.D.
Obstetrics & Gynecology
1072 N LIBERTY ST, STE 100
BOISE, ID 83704
Ada County (208) 302-1200
DR. JACKIE J WHITESELL MD
Psychiatry & Neurology (Neurology)
1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704
Ada County (208) 367-2800
DR. SARA B THOMSON MD
Hospitalist
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 367-4321

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 Shana Tubach's NPI number?

The NPI number for Shana Tubach is 1205879483. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Shana Tubach located?

Shana Tubach practices at 1072 N Liberty St Suite 203, Boise, ID 83704. The listed phone number is (208) 302-5800.

What is Shana Tubach's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shana Tubach enrolled in Medicare?

Yes. Shana Tubach is registered in the Medicare PECOS enrollment system.

What insurance does Shana Tubach accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Shana Tubach 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.

When was this NPI record last updated?

The NPPES record for Shana Tubach was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.