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

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Dr Kendall C Shibuya, DO is a medicare enrolled "Family Medicine" physician in Seattle, Washington. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice International Community Health Services, Swedish Health Services and her current practice location is 1801 Nw Market St Ste 403, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 297-5100.

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
1801 Nw Market St Ste 403,
Seattle, WA 98107-3901
(206) 297-5100
(206) 297-5151

Map and Direction




Physician's Profile

Full NameDr Kendall C Shibuya
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location1801 Nw Market St Ste 403, Seattle, 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: 01/18/2022
  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

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish Medical CenterSeattle, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
International Community Health Services579969567279
Swedish Health Services0244138196834

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 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
Po Box 25608,
Salt Lake City, UT 84125-0608

Ph: (206) 320-4476		Dr Kendall C Shibuya, DO
1801 Nw Market St Ste 403,
Seattle, WA 98107-3901

Ph: (206) 297-5100

Reviews and Comments


Family Medicine Doctors in Seattle, WA

Claire M Barnett, M.D.
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Practice Location: 2001 E Madison St, Seattle, WA 98122
Phone: 206-328-7722    Fax: 206-720-4657
Dr. Gregory Parada, M.D.
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Practice Location: 8720 14th Ave S, Seattle, WA 98108
Phone: 206-762-3730    Fax: 206-764-5494
Michael S Grabinski, M.D., M.P.H.
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Practice Location: 904 7th Ave, 8th Floor, Seattle, WA 98104
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Xin Jie Luo, MD
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Practice Location: 4755 Fauntleroy Way Sw, Seattle, WA 98116
Phone: 206-201-0551    Fax: 206-201-0552
Brooke Elizabeth Parker, DO
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Phone: 206-520-5000    
Eunice Mbela Nachinga, MD
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Practice Location: 125 16th Ave E # Csb545, Seattle, WA 98112
Phone: 206-326-3769    
Michelle K Xu, MD
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Medicare: Medicare Enrolled
Practice Location: 1401 Madison St Ste 100, Seattle, WA 98104
Phone: 206-386-6111    Fax: 206-386-6113

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.