Dr Kendall C Shibuya, DO - Medicare Family Practice in Des Moines, WA

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Dr Kendall C Shibuya, DO is a medicare enrolled "Family Medicine" physician in Des Moines, Washington. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Swedish Health Services, International Community Health Services and her current practice location is 26401 Pacific Hwy S Ste 101, Des Moines, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 870-3590.

Dr Kendall C Shibuya is licensed to practice in Washington (license number OP61071725) 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 1013399781.

Contact Information

Dr Kendall C Shibuya, DO
26401 Pacific Hwy S Ste 101,
Des Moines, WA 98198-9247
(206) 870-3590
(206) 824-1670

Map and Direction




Physician's Profile

Full NameDr Kendall C Shibuya
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location26401 Pacific Hwy S Ste 101, Des Moines, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kendall C Shibuya graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1013399781
  • Provider Enumeration Date: 06/18/2015
  • Last Update Date: 11/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1355690033
  • Enrollment ID: I20211129000755

Medical Identifiers

Medical identifiers for Dr Kendall C Shibuya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013399781NPI-NPPES
1013399781MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OP61071725 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Swedish Health Services0244138196934
International Community Health Services579969567287

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. Dr Kendall C Shibuya allows following entities to bill medicare on her behalf.
Entity NameSwedish Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689612954
PECOS PAC ID: 0244138196
Enrollment ID: O20031230000187
Entity NameSwedish Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720033145
PECOS PAC ID: 4183522931
Enrollment ID: O20031230000688
Entity NameHealthpoint
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831199454
PECOS PAC ID: 9335042886
Enrollment ID: O20040206000245
Entity NameInternational Community Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376659151
PECOS PAC ID: 5799695672
Enrollment ID: O20040301000204

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. Dr Kendall C Shibuya 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 AddressPractice Location Address
Dr Kendall C Shibuya, DO
955 Powell Ave Sw,
Renton, WA 98057-2908

Ph: (425) 277-1311		Dr Kendall C Shibuya, DO
26401 Pacific Hwy S Ste 101,
Des Moines, WA 98198-9247

Ph: (206) 870-3590

Reviews and Comments


Family Medicine Doctors in Des Moines, WA

Jessica Lu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198
Phone: 425-277-1311    
Crystal Jean Hua,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198
Phone: 425-277-1311    
Mumin Daud Dimbil, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22000 Marine View Dr S Ste 100, Des Moines, WA 98198
Phone: 206-870-4460    Fax: 206-870-4770
Ann Lin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198
Phone: 206-870-3590    
Injune Hansie Wong, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198
Phone: 206-870-3590    Fax: 206-824-1670
Dr. Prathayini Muthiah, MD, MPH
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2781 S 242nd St, Des Moines, WA 98198
Phone: 062-124-5002    Fax: 253-212-4515

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.