Individual provider Active NPI

Darshana Shanbhag, M.D.

  • Internal Medicine Physician
  • Bellevue, WA
National Provider Identifier
1841204195
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00033717 Issued in WA
Practice address
1407 116TH Ave NE
Suite 200
Bellevue, WA 98004-3819
Phone
(425) 454-5046
Fax
(425) 990-5261
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00033717 WA Primary

Addresses

Primary practice location

1407 116TH Ave NE
Suite 200
Bellevue, WA 98004-3819

Mailing address

PO Box 5845
Portland, OR 97228-5845
Phone (425) 454-5281

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
I20100225000441 WA Practitioner - Internal Medicine 4688718810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics LLC CurrentSince May 18, 2020 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients

Locations

1407 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 467-0150

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1135 116th Ave NE
Ste 600
Bellevue, WA 98004
Phone (425) 454-2656

6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777

Organizations & group practices 3

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1841204195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5845",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972285845",
            "telephone_number": "425-454-5281",
            "fax_number": "425-990-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 116TH AVE NE",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043819",
            "telephone_number": "425-454-5046",
            "fax_number": "425-990-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANBHAG",
        "first_name": "DARSHANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00033717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.