KOALA PEDIATRICS PLLC NPI 1205628484

NPI Information

  • NPI: 1205628484
  • Provider Name: KOALA PEDIATRICS PLLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 50D2329640
  • Address: 14655 NE BEL RED RD STE 201
    BELLEVUE, WA
    ZIP 98007
  • Phone: (650) 933-7151

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NPI Details

KOALA PEDIATRICS PLLC is a pediatrics in Bellevue, WA. The provider is 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. KOALA PEDIATRICS PLLC NPI is 1205628484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14655 NE BEL RED RD STE 201
BELLEVUE, WA
ZIP 98007-900
Phone: (650) 933-7151
Fax: (920) 214-1221

The provider's authorized official is Priyanka Kawali .
The authorized official title is Owner and has the following contact phone number (650) 933-7151.

The CLIA number assigned to this NPI record is 50D2329640 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2025 and was last updated on 5/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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