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DARSHANA SHANBHAG M.D.
NPI 1841204195
Internal Medicine in Bellevue, WA

Active since July 29, 2006PECOS Enrolled
79.16/100
CMS Quality Rating
1407 116TH AVE NE, SUITE 200, BELLEVUE, WA 98004(425) 454-5046(425) 990-5261 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 12, 2019, Jan 10, 2018 (2 updates tracked since 2018).

About Darshana Shanbhag M.d. NPPES

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

DARSHANA SHANBHAG M.D. (NPI 1841204195) is an individual internal medicine provider in Bellevue, Washington, licensed in Washington (MD00033717) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841204195
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDARSHANA SHANBHAGCredential: M.D.
Location Address1407 116TH AVE NE, SUITE 200Bellevue, WA 98004-3819
Mailing AddressPo Box 5845Portland, OR 97228-5845 · (425) 454-5281 · Fax (425) 990-5261
Phone(425) 454-5046
Fax(425) 990-5261
Sole ProprietorNo
Enumeration DateJuly 29, 2006
Last NPPES UpdateJuly 12, 20192 updates tracked since enumeration
✔ NPI 1841204195 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 · MD00033717
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.
1407 116TH AVE NE, Bellevue, WA 98004
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Darshana Shanbhag M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Other Providers at the Same Location NPPES 13

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

DR. PATRICIA MARTIN MD
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
King County (425) 454-5046
SANDRA C RICE M.D.
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
King County (425) 454-5046
PAUL M MYSTKOWSKI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
King County (425) 454-5046
DR. HUI HONG M.D.
Internal Medicine (Geriatric Medicine)
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
King County (425) 454-5046
LEKHA SETHU MADHAVAN M.D.
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
King County (425) 990-5222
RENU CHAWLA MD
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
King County (425) 990-5222
OVERLAKE INTERNAL MEDICINE ASSOCIATES INC PS
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
King County (425) 990-5222
ALLEN J GELTZER M.D.
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
King County (425) 450-5046

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 Darshana Shanbhag's NPI number?

The NPI number for Darshana Shanbhag is 1841204195. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Darshana Shanbhag located?

Darshana Shanbhag practices at 1407 116th Ave NE Suite 200, Bellevue, WA 98004. The listed phone number is (425) 454-5046.

What is Darshana Shanbhag's specialty?

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

Is Darshana Shanbhag enrolled in Medicare?

Yes. Darshana Shanbhag is registered in the Medicare PECOS enrollment system.

What insurance does Darshana Shanbhag accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Darshana Shanbhag 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 Darshana Shanbhag was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.