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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PHUMEZA MSIKINYA MD
NPI 1013170448
Family Medicine in Bellingham, WA

Active since July 07, 2008PECOS Enrolled
340 36TH ST, BELLINGHAM, WA 98225(833) 411-5469 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2026, Sep 17, 2020, Jan 3, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Phumeza Msikinya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHUMEZA MSIKINYA MD (NPI 1013170448) is an individual family medicine provider in Bellingham, Washington, licensed in Washington (61540134) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013170448
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHUMEZA MSIKINYACredential: MD
Location Address340 36TH STBellingham, WA 98225-6580
Mailing Address8209 Morel DrIndianapolis, IN 46256-8107 · (317) 319-3905
Phone(833) 411-5469
Sole ProprietorNo
Enumeration DateJuly 7, 2008
Last NPPES UpdateAugust 27, 20265 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1013170448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 61540134
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
340 36TH ST, Bellingham, WA 98225
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Other Identifiers 2

Medicaid200947150IN
Medicaid200847150IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phumeza Msikinya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Phumeza Msikinya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Physicians Of Indiana Inc
1,886 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers18 claims40 services$5.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims15 services$1.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$69.78 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims1,768 services$0.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$184.15 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$111.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phumeza Msikinya's NPI number?

The NPI number for Phumeza Msikinya is 1013170448. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Phumeza Msikinya located?

Phumeza Msikinya practices at 340 36th St, Bellingham, WA 98225. The listed phone number is (833) 411-5469.

What is Phumeza Msikinya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phumeza Msikinya enrolled in Medicare?

Yes. Phumeza Msikinya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phumeza Msikinya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phumeza Msikinya reassigns Medicare benefits to Community Physicians Of Indiana Inc (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phumeza Msikinya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phumeza Msikinya accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Phumeza Msikinya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phumeza Msikinya was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.