Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669031472 Individual Practitioner Male Practitioner

Dr. Kodi Humpal , MD

Pediatrics • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kodi Humpal, MD is a registered healthcare professional specializing in Pediatrics in Tacoma, WA. Practice services are available at 9040 JACKSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9040 Jackson Ave

Tacoma, WA 984315102

Telephone 9098090395
Associated Practice Facility / Clinic
🏢 Defense Finance & Actg Serv Facility NPI 1992784144

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
153 Specialists

Practicing in Tacoma, 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: 2025-06-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License HI MD-21376

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Michael Means , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003154899

Certified Registered Nurse Anesthetist

Dr. Adam Perkins , PhD

Psychologist - Clinical

NPI 1003154972

Doctor of Philosophy (Ph.D.)

NPI 1003264771

Doctor of Physical Therapy

Dr. Kenny Le , MD

Anesthesiology

NPI 1003351842

Doctor of Medicine (M.D.)

Dr. Andrew Irizarry , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1003380429

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Matthew Libid , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003406661

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location June 30, 2025

Registered at 9040 JACKSON AVE, TACOMA, WA 984315102 (Tel: 9098090395)

📍
Updated Practice Location July 18, 2022

Registered at 1585 3RD ST, FORT POLK, LA 714595102 (Tel: 9098090395)

📍
Updated Business Mailing Address July 18, 2022

Registered at 1585 3RD ST, FORT POLK, LA 714595102

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2022

Pediatrics (License #MD-21376 in HI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2022

General Practice (License #MD-21376 in HI)

NPI Profile Active June 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2019

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 968595001 (Tel: 8084336697)

📍
Updated Business Mailing Address June 06, 2019

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 968595001

👤
Provider Name / Credentials Updated June 06, 2019

Recorded as KODI HUMPAL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 06, 2019

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: 1669031472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2019
Last Update: June 30, 2025
Sole Proprietor: No

Mailing Address

1585 3rd St

Fort Polk, LA 714595102

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.