Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raphael Shakur Komakech, MBBCHB

Individual provider Internal Medicine Physician · NPI 1770223562

Raphael Shakur Komakech, MBBCHB is an Internal Medicine in Nampa, Idaho. Qualified in 2025, 1 year ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone: (208) 463-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 W Fort St, Boise, ID 83702-4501 — (208) 422-1000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 7171372 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence MRM-2124 (ID)

Record details

NPI number1770223562
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBCHB
Sole proprietorYes
NPI enumeratedMarch 30, 2022
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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