SULABHA CHAGANABOYANA M.D.
NPI 1659668218
Family Medicine in Caldwell, ID

Q: What is Sulabha Chaganaboyana's NPI number?

The NPI number for Sulabha Chaganaboyana is 1659668218. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Q: What is Sulabha Chaganaboyana's specialty?

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

Active since July 05, 2011PECOS EnrolledAccepts Medicare Assignment

315 E ELM ST # 201, CALDWELL, ID 83605(208) 514-2528(208) 375-2217 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2024, Nov 9, 2017 (2 updates tracked since 2017).

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About Sulabha Chaganaboyana M.d. NPPES

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

SULABHA CHAGANABOYANA M.D. (NPI 1659668218) is an individual family medicine provider in Caldwell, Idaho, licensed in Idaho (M13891) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with West Valley Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1659668218

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSULABHA CHAGANABOYANACredential: M.D.

Location Address315 E ELM ST # 201Caldwell, ID 83605-4857

Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217

Phone(208) 514-2528

Fax(208) 375-2217

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 5, 2011

Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration

NPPES CertifiedOctober 21, 2025

✔ NPI 1659668218 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 · M13891✔ Licensed in KS · 94-07773✔ Licensed in WV · 26025

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.

315 E ELM ST # 201, Caldwell, ID 83605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health.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

Sulabha Chaganaboyana M.d. 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 ID8628216330

PECOS Enrollment IDI20141226000000, I20171227000740

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.

Hospital Affiliations CMS Care Compare

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

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID

5/5 CMS rating

OwnershipProprietary

CMS Certification Number130014

Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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 12

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

MARK BERGER NP

Nurse Practitioner (Family)