DR. PAUL SARKARIA DO
NPI 1902463300
Internal Medicine - Pulmonary Disease in Nampa, ID

Q: What is Paul Sarkaria's NPI number?

The NPI number for Paul Sarkaria is 1902463300. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Q: What is Paul Sarkaria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Paul Sarkaria was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment

4424 E FLAMINGO AVE STE 210, NAMPA, ID 83687(208) 302-2000(208) 302-2055 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2025, Feb 19, 2025, May 22, 2019 (3 updates tracked since 2019).

On this page

About Dr. Paul Sarkaria Do NPPES

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

DR. PAUL SARKARIA DO (NPI 1902463300) is an individual pulmonary disease provider in Nampa, Idaho, licensed in Idaho (9771231) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1902463300

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. PAUL SARKARIACredential: DO

Location Address4424 E FLAMINGO AVE STE 210Nampa, ID 83687-9291

Mailing Address4424 E Flamingo Ave Ste 210Nampa, ID 83687-9291 · (208) 302-2000

Phone(208) 302-2000

Fax(208) 302-2055

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 22, 2019

Last NPPES UpdateMay 24, 20253 updates tracked since enumeration

NPPES CertifiedMay 24, 2025

✔ NPI 1902463300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in ID · 9771231

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License BP10067178 (TX)

4424 E FLAMINGO AVE STE 210, Nampa, ID 83687

Open in Google Maps ↗

Secondary Practice Location 1

Location 1Dell Seton Medical Center, 1500 Red River StAustin, TX 78701 · Phone (512) 324-8355

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Sarkaria Do 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 ID7315392362

PECOS Enrollment IDI20250507002521

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.

Medicare Billing Reassignments

Medicare enrollment records show Paul Sarkaria reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Alphonsus Regional Medical Center Inc

7.9 mi

Family Medicine

712 AVIATION WAY
Caldwell, ID 83605

Reassigned Medicare billing, Idaho and Oregon enrollments
781 clinicians in this Medicare group

NPI 1861676298 (208) 302-1000

Seton Family Of Doctors

1,376 mi

Family Medicine

3001 PALM WAY, D1 : 134-138
Austin, TX 78758

Reassigned Medicare billing, Texas enrollment
1,188 clinicians in this Medicare group

NPI 1225644065 (512) 324-5938

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

Hospital Affiliations CMS Care Compare 4

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130013

Location4300 E Flamingo AveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380052

Location351 SW 9th StreetOntario, OR 97914 · Malheur County

Emergency services

St. Alphonsus Medical Center - Baker City

Critical Access Hospitals · Baker City, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381315

Location3325 Pocahontas RoadBaker City, OR 97814 · Baker County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83687 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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

0%55 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. SUGAT K PATEL M.D.

Internal Medicine (Infectious Disease)

4424 E FLAMINGO AVE STE 210
NAMPA, ID 83687

Canyon County (208) 302-5467

KARSON FAWCETT KALIAN DO

Internal Medicine (Pulmonary Disease)

4424 E FLAMINGO AVE STE 210
NAMPA, ID 83687

Canyon County (208) 302-2000

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 Paul Sarkaria's NPI number?

The NPI number for Paul Sarkaria is 1902463300. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Paul Sarkaria located?

Paul Sarkaria practices at 4424 E Flamingo Ave Ste 210, Nampa, ID 83687. The listed phone number is (208) 302-2000.

What is Paul Sarkaria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Paul Sarkaria enrolled in Medicare?

Yes. Paul Sarkaria 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.

Which organizations bill Medicare for Paul Sarkaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Sarkaria reassigns Medicare benefits to 2 organizations: Saint Alphonsus Regional Medical Center Inc (Caldwell, ID) and Seton Family Of Doctors (Austin, TX). Each 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 Paul Sarkaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Sarkaria accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Paul Sarkaria 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 Paul Sarkaria affiliated with any hospitals?

According to CMS data, Paul Sarkaria is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa, Saint Alphonsus Medical Center - Ontario and St. Alphonsus Medical Center - Baker City.

When was this NPI record last updated?

The NPPES record for Paul Sarkaria was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.