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DR. SHAKTI K MATTA MBBS, DCH, MD, FAAP
NPI 1679652135
Pediatrics in Kennewick, WA

Active since November 03, 2006
6802 W RIO GRANDE AVE STE 1, KENNEWICK, WA 99336(509) 572-2201(509) 783-8844 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shakti K Matta Mbbs, Dch, Md, Faap NPPES

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

DR. SHAKTI K MATTA MBBS, DCH, MD, FAAP (NPI 1679652135) is an individual pediatrics provider in Kennewick, Washington, licensed in Washington (MD00035969) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1679652135
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SHAKTI K MATTACredential: MBBS, DCH, MD, FAAP
Location Address6802 W RIO GRANDE AVE STE 1Kennewick, WA 99336-7684
Mailing Address6802 W Rio Grande Ave Ste 1Kennewick, WA 99336-7684 · (509) 572-2201 · Fax (509) 783-8844
Phone(509) 572-2201
Fax(509) 783-8844
Sole ProprietorYes
Enumeration DateNovember 3, 2006
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1679652135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00035969
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6802 W RIO GRANDE AVE STE 1, Kennewick, WA 99336
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Other Identifiers 5

Other0124991WA · Wa State Dl&i #
Medicare ID-Type UnspecifiedP00113644WA · Rr Medicare #
Medicare UPING87174WA
Medicare ID-Type UnspecifiedAB07681WA · Medicare Provider #
Medicaid8227530WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

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

LAURA NICOLE TARANGO
Physician Assistant
6802 W RIO GRANDE AVE STE 1
KENNEWICK, WA 99336
Benton County (509) 572-2201
MISS KARI DAWN ROBERTSON PA-C
Physician Assistant (Medical)
6802 W RIO GRANDE AVE STE 1
KENNEWICK, WA 99336
Benton County (509) 572-2201
CARRIE L LAMB PA-C
Physician Assistant (Medical)
6802 W RIO GRANDE AVE STE 1
KENNEWICK, WA 99336
Benton County (509) 572-2201
PEDIATRICS FOR YOU, PLLC
Pediatrics
6802 W RIO GRANDE AVE STE 1
KENNEWICK, WA 99336
Benton County (509) 572-2201

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 Shakti Matta's NPI number?

The NPI number for Shakti Matta is 1679652135. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Shakti Matta located?

Shakti Matta practices at 6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336. The listed phone number is (509) 572-2201.

What is Shakti Matta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Shakti Matta accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shakti Matta 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 Shakti Matta was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.