Sudha Subramanyam, MD in Nampa, ID - Medicare Family Practice

Sudha Subramanyam, MD is a medicare enrolled "Family Medicine" physician in Nampa, Idaho. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 9850 W St Lukes Dr, Nampa, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 205-7282.

Sudha Subramanyam is licensed to practice in Idaho (license number M15981) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104481555.

Contact Information

	Sudha Subramanyam, MD
	9850 W St Lukes Dr, Nampa, ID 83687-7912
	(208) 205-7282
	Not Available

Map and Direction

Physician's Profile

Full Name	Sudha Subramanyam
Gender	Female
Speciality	Family Practice
Experience	15 Years
Location	9850 W St Lukes Dr, Nampa, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sudha Subramanyam graduated from medical school in 2009

NPI Data:

NPI Number: 1104481555
Provider Enumeration Date: 05/01/2019
Last Update Date: 06/06/2022

Medicare PECOS Information:

PECOS PAC ID: 1052648524
Enrollment ID: I20220811000845

Medical Identifiers

Medical identifiers for Sudha Subramanyam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104481555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MRM-1815 (Idaho)	Secondary
207Q00000X	Family Medicine	M15981 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Nampa Medical Center	Nampa, ID	Hospital
St Luke's Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic-treasure Valley Llc	4981878402	991

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sudha Subramanyam allows following entities to bill medicare on her behalf.

Entity Name	Full Circle Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sudha Subramanyam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sudha Subramanyam, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Sudha Subramanyam, MD 9850 W St Lukes Dr, Nampa, ID 83687-7912 Ph: (208) 205-7282

Reviews and Comments

Family Medicine Doctors in Nampa, ID

Dr. Julia Marie Jensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359
Jason Johnston, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1820 Caldwell Blvd, Nampa, ID 83651 Phone: 208-466-6567 Fax: 208-466-7922
Stuart Austin Black Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359
Heidi Elizabeth Shields, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687 Phone: 208-302-7000 Fax: 208-302-7055
Robert B Buxton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 12th Ave Rd, Ste 200, Nampa, ID 83886 Phone: 208-302-6800 Fax: 208-302-6855
Dora Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9850 W St Lukes Dr Ste 329, Nampa, ID 83687 Phone: 208-514-2509 Fax: 208-375-2217
Jesse Tyler Mcchane, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 Fax: 208-466-5359

Sudha Subramanyam, MD - Medicare Family Practice in Nampa, ID