DR. KOMOLA AZIMOVA SHABAN MD
NPI 1326495235
Family Medicine - Adult Medicine in Clovis, CA
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Komola Shaban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Komola Shaban's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Komola Shaban reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Komola Shaban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 23 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.
# Dr. Komola Azimova Shaban, MD · NPI 1326495235
Adult Medicine physician in Clovis, California. Individual provider, active in the CMS NPPES registry since May 20, 2016.
## Identity
- **NPI:** 1326495235 (Entity type: Individual)
- **Enumerated:** May 20, 2016
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **State license:** A174548 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2071 HERNDON AVE, Clovis, CA 93611-6101
- **Phone:** (512) 650-6550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Paul L Foster School Of Medicine, Texas Tech Univ, class of 2016
## Record status
- **NPPES last updated:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1326495235) · Data from the CMS NPPES public registry.