Raphael Shakur Komakech, MBBCHB
NPI 1770223562ActiveIndividual· Internal Medicine· Nampa, ID
Internal Medicine (MBBCHB) with Saint Alphonsus Regional Medical Center Inc, practicing in Nampa, Idaho. Enrolled in Medicare as practitioner - internal medicine. Lists Saint Alphonsus Medical Center - Nampa as a hospital affiliation.
Overview
| NPI | 1770223562 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MBBCHB |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2022 |
| Last updated in NPPES | Mar 13, 2026 |
| Certified by provider | Mar 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 7171372 | ID |
| Internal Medicine | 207R00000X | MRM-2124 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (ID) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Saint Alphonsus Regional Medical Center IncBoise, ID · 680 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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