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Active NPI 1679652135 Individual Practitioner Male Practitioner

Dr. Shakti K Matta , MBBS, DCH, MD, FAAP

Pediatrics • Kennewick, WA

Professional Overview & Biography Verified Profile Summary

Dr. Shakti Matta, MBBS, DCH, MD, FAAP is a registered healthcare professional specializing in Pediatrics in Kennewick, WA. Practice services are available at 6802 W RIO GRANDE AVE STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6802 W Rio Grande Ave Ste 1

Kennewick, WA 993367684

Telephone 5095722201
Fax 5097838844
Associated Practice Facility / Clinic
🏢 Pediatrics For You, Pllc Facility NPI 1427240449

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kennewick, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Kennewick, 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00035969

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8227530 (WA)
Commercial Insurance / Payer ID Wa State Dl&i #
0124991 (WA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Laura Tarango

Physician Assistant

NPI 1114765146
Kari Robertson , PA-C

Physician Assistant - Medical

NPI 1316174063

Physician Assistant (Certified)

Carrie Lamb , PA-C

Physician Assistant - Medical

NPI 1396177119

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2012

Registered at 6802 W RIO GRANDE AVE STE 1, KENNEWICK, WA 993367684 (Tel: 5095722201)

📍
Updated Business Mailing Address September 18, 2012

Registered at 6802 W RIO GRANDE AVE STE 1, KENNEWICK, WA 993367684 (Tel: 5095722201)

👤
Provider Name / Credentials Updated September 18, 2012

Recorded as SHAKTI MATTA, MBBS, DCH, MD, FAAP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2012

Pediatrics (License #MD00035969 in WA)

🟢
Initial NPI Registration & Enumeration November 03, 2006

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: 1679652135
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: September 18, 2012
Sole Proprietor: Yes

Mailing Address

6802 W Rio Grande Ave Ste 1

Kennewick, WA 993367684

Phone: 5095722201

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.