Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATERYNA POLIASHOV MD
NPI 1831892504
Family Medicine in Caldwell, ID

Q: What is Kateryna Poliashov's NPI number?

The NPI number for Kateryna Poliashov is 1831892504. It was assigned to this individual provider in the NPPES registry on March 22, 2023. The provider is also known as Kateryna Poliashov MD.

Q: What is Kateryna Poliashov's specialty?

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

Active since March 22, 2023PECOS Enrolled

712 AVIATION WAY, CALDWELL, ID 83605(208) 302-7500(208) 302-7555 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Mar 22, 2023 (2 updates tracked since 2023).

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About Kateryna Poliashov Md NPPES

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

KATERYNA POLIASHOV MD (NPI 1831892504) is an individual family medicine provider in Caldwell, Idaho, licensed in Idaho (6581106) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Voorhees.

NPPES Registry Identity

NPI1831892504

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATERYNA POLIASHOVCredential: MD

Location Address712 AVIATION WAYCaldwell, ID 83605-1154

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 302-7500

Fax(208) 302-7555

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1831892504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 6581106

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

712 AVIATION WAY, Caldwell, ID 83605

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Other Names 1

Professional Name (2)Kateryna Poliashov Md

Secondary Practice Location 1

Location 12225 E Evesham RdVoorhees, NJ 08043-1557 · Phone (856) 247-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kateryna Poliashov 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 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 19

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

ALDA ARNAUTOVIC PHARMD

Pharmacist