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CHARLES C NOVAK MD CHARTERED
NPI 1316245004
Psychiatry & Neurology - Psychiatry in Boise, ID

Active since March 04, 2011
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704(208) 323-1125 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles C Novak Md Chartered NPPES

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

CHARLES C NOVAK MD CHARTERED (NPI 1316245004) is a healthcare organization registered as a psychiatry in Boise, Idaho and active in the NPI registry since March 2011. The organization lists Alison Dunbar, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1316245004
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCHARLES C NOVAK MD CHARTERED
Location Address413 N ALLUMBAUGH ST STE 101Boise, ID 83704-9219
Mailing Address413 N Allumbaugh St Ste 101Boise, ID 83704-9219 · (208) 323-1125
Phone(208) 323-1125
Organization SubpartNo
Authorized OfficialAlison DunbarBilling Supervisor · (208) 323-1125
Enumeration DateMarch 4, 2011
✔ NPI 1316245004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in ID · M4922
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
413 N ALLUMBAUGH ST STE 101, Boise, ID 83704
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Other Identifiers 3

Medicare PIN1118122
Other1770511743Individual Npi
Medicare UPINB63775

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles C Novak Md Chartered is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20110322000282Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles C Novak MD Chartered, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Novak, MD
Psychiatry
NPI 1770511743
413 ALLUMBAUGH ST SUITE 101
Boise, ID 83704
(208) 323-1125
✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Charles C Novak MD Chartered's NPI number?

The NPI number for Charles C Novak MD Chartered is 1316245004. It was assigned to this organization in the NPPES registry on March 4, 2011.

Where is Charles C Novak MD Chartered located?

Charles C Novak MD Chartered is located at 413 N Allumbaugh St Ste 101, Boise, ID 83704. The listed phone number is (208) 323-1125.

What is Charles C Novak MD Chartered's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Charles C Novak MD Chartered enrolled in Medicare?

Yes. Charles C Novak MD Chartered is registered in the Medicare PECOS enrollment system.

When is Charles C Novak MD Chartered's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Charles C Novak MD Chartered?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Charles C Novak MD Chartered. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Charles C Novak MD Chartered accept?

Health plans from Molina Healthcare list Charles C Novak MD Chartered 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 Charles C Novak MD Chartered was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.