Individual provider Active NPI

Shamsa Z. Mawjee, M.D.

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1124171756
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00044731 Issued in WA
Practice address
9040 Jackson Ave
Tacoma, WA 98431-1700
Phone
(253) 968-3885
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00044731 WA Primary

Addresses

Primary practice location

9040 Jackson Ave
Tacoma, WA 98431-1700

Mailing address

9040A Jackson Ave
Joint Base Lewis-McChord
JBLM, WA 98431
Phone (253) 968-0770

Other identifiers 1

IdentifierTypeStateIssuer
8440851MedicaidWA

Other names 1

  • Shamsa Zindani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060421000224 WA Practitioner - Family Practice 9638189541 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00044731WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 24, 2005 Accepting new patients
Multicare Health System Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 24, 2005 Accepting new patients
Multicare Health System CurrentSince Feb 23, 2015 Accepting new patients
Multicare Health System Family Medicine CurrentSince Feb 23, 2015 Accepting new patients

Locations

4545 Point Fosdick Dr
Gig Harbor, WA 98335
Phone (253) 530-8000

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

10452 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 307-7300

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1124171756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "address_2": "JOINT BASE LEWIS-MCCHORD",
            "city": "JBLM",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-0770",
            "fax_number": "253-968-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311700",
            "telephone_number": "253-968-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWJEE",
        "first_name": "SHAMSA",
        "middle_name": "Z.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00044731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8440851",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMSA",
            "last_name": "ZINDANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.