Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295112431 Individual Practitioner Female Practitioner

Dr. Komal Shah , MD

Pediatrics • Bellingham, WA

Professional Overview & Biography Verified Profile Summary

Dr. Komal Shah, MD is a registered healthcare professional specializing in Pediatrics in Bellingham, WA. Practice services are available at 2608 KWINA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2608 Kwina Rd

Bellingham, WA 982269291

Telephone 3603806656
Fax 3603842336
Associated Practice Facility / Clinic
🏢 Lummi Indian Business Council Facility NPI 1184743221

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bellingham, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
39 Specialists

Practicing in Bellingham, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD60843278

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

General Practice

NUCC Taxonomy Code: 208D00000X

State License WA MD60843278

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wa State License
MD60843278 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Mary Varco , RN

Registered Nurse

NPI 1053828061

Registered Nurse

Alaysha Mackenzie , RDH

Dental Hygienist

NPI 1194293134

Registered Dental Hygienist

Nina Kuhlman , RN

Registered Nurse

NPI 1225694599

Registered Nurse

Debra Noble , RN

Registered Nurse

NPI 1336656347

Registered Nurse

Gillian Mckenzie , RDH

Dental Hygienist

NPI 1386101350

Registered Dental Hygienist

Margaret Smith , RN

Registered Nurse

NPI 1508373515

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location October 29, 2024

Registered at 2608 KWINA RD, BELLINGHAM, WA 982269291 (Tel: 3603806656)

📍
Updated Business Mailing Address October 29, 2024

Registered at 2608 KWINA RD, BELLINGHAM, WA 982269291 (Tel: 3603806656)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2024

Pediatrics (License #MD60843278 in WA)

📍
Updated Practice Location April 04, 2019

Registered at 2592 KWINA RD, BELLINGHAM, WA 982269278 (Tel: 3603806656)

📍
Updated Business Mailing Address April 04, 2019

Registered at 2592 KWINA RD, BELLINGHAM, WA 982269278 (Tel: 3603806656)

👤
Provider Name / Credentials Updated April 04, 2019

Recorded as KOMAL SHAH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2019

General Practice (License #MD60843278 in WA)

NPI Profile Active April 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2015

Registered at 111 MICHIGAN AVE NW, W3.5, 600, WASHINGTON, DC 200102916 (Tel: 2024763670)

📍
Updated Business Mailing Address April 27, 2015

Registered at 111 MICHIGAN AVE NW, W3.5, 600, WASHINGTON, DC 200102916 (Tel: 2024763670)

👤
Provider Name / Credentials Updated April 27, 2015

Recorded as KOMAL SHAH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295112431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2015
Last Update: October 29, 2024
Sole Proprietor: No

Mailing Address

2608 Kwina Rd

Bellingham, WA 982269291

Phone: 3603806656

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.