P Praxis·MD
● Active Type 1 · Individual

Raphael Shakur Komakech, MBBCHB

Internal Medicine·Nampa, ID· NPI 1770223562 · Enumerated 2022 · 4 years on NPI
Komakech is 1 of 21 internal medicine providers in Nampa and 1 of 504 in Idaho.
NPI age
4 years
Enumerated 2022-03-30
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 504 active internal medicine providers in Idaho.

NPI age
4 years
↓ 12 yr below median (16 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
44% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Practice location
4300 E Flamingo Ave
Nampa, ID 836873138
📞 2084635000
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170

Additional practice locations

1 secondary location on file with NPPES.

Location 2
500 W Fort St
Boise, ID 837024501
📞 2084221000

Specialties

  • Internal Medicine Primary
    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,...
    ID license #7171372ID license #MRM-2124 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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