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MICHELE A SUNDAR MD
NPI 1578855839
Internal Medicine in Boise, ID

Active since May 05, 2011PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
190 E BANNOCK ST, BOISE, ID 83712(208) 381-5015 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michele A Sundar Md NPPES

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

MICHELE A SUNDAR MD (NPI 1578855839) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (M-17068) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1578855839
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMICHELE A SUNDARCredential: MD
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-5015 · Fax (208) 381-1873
Phone(208) 381-5015
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2011
Enumeration DateMay 5, 2011
Last NPPES UpdateMarch 3, 2023
NPPES CertifiedMarch 3, 2023
✔ NPI 1578855839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · M-17068
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 071893 (GA)
190 E BANNOCK ST, Boise, ID 83712
Open in Google Maps ↗

Secondary Practice Location 1

Location 15665 Peachtree Dunwoody Rd NEAtlanta, GA 30342-1764 · Phone (404) 778-6382 · Fax (678) 843-7692

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Michele A Sundar 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 ID446491682
PECOS Enrollment IDI20230420002787
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 6

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.
196 services105 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.
142 services60 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.
77 services77 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.
67 services66 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
22 services22 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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

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.

NORA M SUAREZ NP
Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
REBECCA WENSEL P.T.
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2138
JENNIFER WOODBURN
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
MURRY ODONNELL
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-7275
KAITLIN EDMINSTEN DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
ALLISON ELISABETH MAY
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. MICHAEL FREDERIC KRUG M.D.
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
HEATHER CAREW M.D.
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2645

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 Michele Sundar's NPI number?

The NPI number for Michele Sundar is 1578855839. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Michele Sundar located?

Michele Sundar practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-5015.

What is Michele Sundar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michele Sundar enrolled in Medicare?

Yes. Michele Sundar 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 Michele Sundar accept?

Health plans from Providence Health Plan list Michele Sundar 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 Michele Sundar affiliated with any hospitals?

According to CMS data, Michele Sundar is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michele Sundar was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.