DR. KOMOLA AZIMOVA SHABAN MD
NPI 1326495235
Family Medicine - Adult Medicine in Clovis, CA

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
2071 HERNDON AVE, CLOVIS, CA 93611(512) 650-6550 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2022, Jun 12, 2018, May 20, 2016 (3 updates tracked since 2016).

About Dr. Komola Azimova Shaban Md NPPES

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

DR. KOMOLA AZIMOVA SHABAN MD (NPI 1326495235) is an individual adult medicine provider in Clovis, California, licensed in California (A174548) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Temple City, and is a graduate of Paul L Foster School Of Medicine, Texas Tech Univ (2016).

NPPES Registry Identity

NPI1326495235
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. KOMOLA AZIMOVA SHABANCredential: MD
Location Address2071 HERNDON AVEClovis, CA 93611-6101
Mailing Address5319 Dupuy CirTemple City, CA 91780-3165 · (512) 650-6550
Sole ProprietorNo
Medical School CMSPaul L Foster School Of Medicine, Texas Tech UnivGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateOctober 30, 20243 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1326495235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in CA · A174548
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2071 HERNDON AVE, Clovis, CA 93611

Other Names 1

Other Name (5)Dr. Komola Azimova Md

Secondary Practice Location 1

Location 15319 Dupuy CirTemple City, CA 91780-3165 · Phone (512) 650-6550

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. Komola Azimova Shaban 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 ID8022301951
PECOS Enrollment IDI20220517000325
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93611 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

Obstetrics & Gynecology (Obstetrics)
2071 HERNDON AVE
CLOVIS, CA 93611
Obstetrics & Gynecology
2071 HERNDON AVE
CLOVIS, CA 93611
Physical Medicine & Rehabilitation
2071 HERNDON AVE
CLOVIS, CA 93611
Internal Medicine
2071 HERNDON AVE
CLOVIS, CA 93611
Pain Medicine (Pain Medicine)
2071 HERNDON AVE
CLOVIS, CA 93611
Internal Medicine
2071 HERNDON AVE
CLOVIS, CA 93611
Obstetrics & Gynecology
2071 HERNDON AVE
CLOVIS, CA 93611
Obstetrics & Gynecology
2071 HERNDON AVE
CLOVIS, CA 93611

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 Komola Shaban's NPI number?

The NPI number for Komola Shaban is 1326495235. It was assigned to this individual provider in the NPPES registry on May 20, 2016. The provider is also known as Dr. Komola Azimova MD.

Where is Komola Shaban located?

Komola Shaban practices at 2071 Herndon Ave, Clovis, CA 93611. The listed phone number is (512) 650-6550.

What is Komola Shaban's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Komola Shaban enrolled in Medicare?

Yes. Komola Shaban 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.

When was this NPI record last updated?

The NPPES record for Komola Shaban was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.