DR. KHALED SHAKER ELGHONEMY MD
NPI 1063790665
Internal Medicine in Mukilteo, WA

Active since July 30, 2011PECOS EnrolledAccepts Medicare Assignment
4410 106TH ST SW, MUKILTEO, WA 98275(425) 339-5453(425) 252-4441 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2026, Sep 18, 2025, May 25, 2023 (3 updates tracked since 2023).

About Dr. Khaled Shaker Elghonemy Md NPPES

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

DR. KHALED SHAKER ELGHONEMY MD (NPI 1063790665) is an individual internal medicine provider in Mukilteo, Washington, licensed in Washington (MD60443399) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1063790665
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KHALED SHAKER ELGHONEMYCredential: MD
Location Address4410 106TH ST SWMukilteo, WA 98275-4700
Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414
Fax(425) 252-4441
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 30, 2011
Last NPPES UpdateMay 8, 20263 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1063790665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WA · MD60443399
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4410 106TH ST SW, Mukilteo, WA 98275

Secondary Practice Location 1

Location 113020 Meridian Ave S Fl 2Everett, WA 98208-6468 · Phone (425) 357-3700 · Fax (425) 357-3701

Other Identifiers 1

Medicaid2036935WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Khaled Shaker Elghonemy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012132780
PECOS Enrollment IDI20140714001397
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.

Areas of Expertise CMS Part B claims 8

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.
235 services137 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
60 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 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.
25 services23 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Whidbeyhealth Medical Center

Critical Access Hospitals · Coupeville, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501339
Location101 North Main StreetCoupeville, WA 98239 · Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98275 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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

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
5 suppliers12 claims34 services$4.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4410 106TH ST SW
MUKILTEO, WA 98275
Family Medicine
4410 106TH ST SW
MUKILTEO, WA 98275
Nurse Practitioner
4410 106TH ST SW
MUKILTEO, WA 98275
Nurse Practitioner
4410 106TH ST SW
MUKILTEO, WA 98275
Pharmacy
4410 106TH ST SW
MUKILTEO, WA 98275
Nurse Practitioner
4410 106TH ST SW
MUKILTEO, WA 98275
Family Medicine
4410 106TH ST SW
MUKILTEO, WA 98275
Family Medicine
4410 106TH ST SW
MUKILTEO, WA 98275

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 Khaled Elghonemy's NPI number?

The NPI number for Khaled Elghonemy is 1063790665. It was assigned to this individual provider in the NPPES registry on July 30, 2011.

Where is Khaled Elghonemy located?

Khaled Elghonemy practices at 4410 106th St SW, Mukilteo, WA 98275. The listed phone number is (425) 339-5453.

What is Khaled Elghonemy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Khaled Elghonemy enrolled in Medicare?

Yes. Khaled Elghonemy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Khaled Elghonemy accept?

Health plans from AvMed, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Khaled Elghonemy 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.

Is Khaled Elghonemy affiliated with any hospitals?

According to CMS data, Khaled Elghonemy is affiliated with Providence Regional Medical Center Everett, Swedish Medical Center and Whidbeyhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Khaled Elghonemy was last updated on May 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.