Capital Surgical Associates, PA
NPI 1902854433ActiveOrganization· Surgery· Boise, ID
Surgery in Boise, Idaho, registered in NPPES in May 2006. The authorized official on file is Lisa Jack, Practice Manager. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1902854433 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Aug 28, 2025 |
| Certified by provider | Aug 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Urology | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
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