CAPITAL SURGICAL ASSOCIATES, PA
NPI 1902854433
Surgery in Boise, ID

NPI Status: Active since May 05, 2006

Contact Information

8854 W EMERALD ST
SUITE 140
BOISE, ID
ZIP 83704
Phone: (208) 321-4790
Fax: (208) 321-4836

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  • Organization
  • Surgery
  • Accepts Insurance
  • CLIA Number: 13D2290127
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-20-2027

About CAPITAL SURGICAL ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for Capital Surgical Associates, Pa, a provider established in Boise, Idaho operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1902854433 assigned on May 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated one year ago. Capital Surgical Associates, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Lisa Jack (Practice Manager)

NPI
1902854433
Provider Legal Name
CAPITAL SURGICAL ASSOCIATES, PA
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
8854 W EMERALD ST SUITE 140 BOISE, ID 83704
Location Phone
(208) 321-4790
Location Fax
(208) 321-4836
Mailing Address
8854 W EMERALD ST STE 140 BOISE, ID 83704
Mailing Phone
(208) 321-4790
Mailing Fax
(208) 321-4836
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2006
Last Update Date
08-28-2025
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A surgeon like Capital Surgical Associates, Pa treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
2208800000XAllopathic & Osteopathic Physicians

Urology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA JACK

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(208) 321-4790

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
290408OTHER (01)IDREGENCE BLUE SHIELD
807082700MEDICAID (05)ID 
89466OTHER (01)IDBLUE CROSS
13D2290127OTHER (01)IDCLIA
DC4854OTHER (01)IDTRAVELERS MEDICARE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2290127
Facility Type
Physician Office
Certificate Effective Date
September 21, 2025
Certificate Expiration Date
September 20, 2027
Laboratory Director
RYAN APPLONIE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Capital Surgical Associates, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902854433, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 6 + 5 + 8 + 4 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1902854433.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Physical Therapist
8854 W EMERALD ST, SUITE 280
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, # 170
BOISE, ID 83704
Physician Assistant (Medical)
8854 W EMERALD ST, STE 102
BOISE, ID 83704
Physical Therapist
8854 W EMERALD ST, SUITE 280
BOISE, ID 83704
Surgery
8854 W EMERALD ST
BOISE, ID 83704
Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Clinic/Center (Physical Therapy)
8854 W EMERALD ST, SUITE 280
BOISE, ID 83704
Physician Assistant
8854 W EMERALD ST, SUITE #102
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, STE 102
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, STE 102
BOISE, ID 83704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902854433, enumerated as an "organization" on May 05, 2006.

The provider is located at 8854 W EMERALD ST SUITE 140 BOISE, ID 83704 and the phone number is (208) 321-4790.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.