Episode 67: Dr. Niran Al-Agba (She/Her) of Silverdale Pediatrics - Silverdale, WA

Updated: Dec 19, 2021

Direct Doctor

Dr. Niran Al-Agba (Pronounced Niran like "Duran Duran" Al-AJba) is a third generation board-certified Pediatrician in private practice in Silverdale, Washington, a practice that has been open since 1971 before she was born!

She earned her medical degree at the University of Washington in 1999. She then went on to complete her pediatric residency at the University of Colorado School of Medicine/Denver Children’s Hospital in 2002.

She is a frequent contributor to KevinMD, blogs at niranalagba.com and is Mom to four children and in her spare trimester is chasing them or is at her practice.

Dr. Niran Al-Agba shares her story as to why DPC was not the solution for her. She shares how her practice is ideal as she has relationship-based medicine, charges for non-covered services and one works 20 hours a week while managing being a Mom to four as well as an author of numerous newspaper articles, blog posts and recently, she co-authored the book "Patients At Risk" with Dr. Rebekah Bernard. Honoring transparency as well, Dr. Al-Agba's story really highlights similarities between her clinic and a DPC practice and demonstrates that DPC is not the answer for some and that's ok.

Resources Mentioned by Dr. Al-Agba

Patients At Risk The Rise of the Nurse Practitioner and Physician Assistant in Healthcare a book by Dr. Al-agba and Dr. Rebekah Bernard

The Patients At Risk Podcast hosted by Dr. Al-agba and Dr. Rebekah Bernard

Kitsap Sun Innovation with Covid PPE storage article HERE

KevinMD post about Covid testing in patient’s homes HERE

KevinMD article addressing Single payer systems in Canada and Cuba HERE

KevinMD Article addressing Physician shortage HERE

Talking with kids about Covid HERE

Tribute to Piper Lowery, Dr. Al-Agba's patient HERE

Article about Dr. Rebecca Lee Crumpler HERE


Twitter Handle: @silverdalepeds

email: niranalagba@gmail.com

Websites: niranalagba.com and Silverdale Pediatrics


Direct care means to me that I'm getting to be up close and personal with my patient so there's no one else between me and my patient. I'm Niran Al-Agba of Silverdale Pediatrics and this is my direct care story.

Welcome to the podcast Dr. Al-Agba

Thanks for having me. I'm thrilled to be here.


definitely my pleasure now for the listeners.

I wanted to address that you're not doing a DPC practice and you're on my DPC story, but I wanted to acknowledge that on the DBC docs Facebook group, because you are someone who is extremely passionate about quality care for all Americans, you had posted. In response to somebody's post on the DBC docs, Facebook group, about the stressors of a DPC practice and how to handle those stressors.

And I found it really interesting, and I feel that this is how the podcast is being inclusive, that you were presenting an opinion from a doctor who is doing a micro-practice, who takes insurance, but still does direct care because you are extremely involved in your patient's lives and your family's lives.

And you in your blog post, you have a picture of a fourth generation baby in your practice. And I think that's amazing. So thank you so much again for coming on and sharing your direct care story. It's not necessarily pure DPC, but

that's okay. Yeah. Thanks for having me at that post. I felt so bad for the poster per se, because she was just really struggling.

And I think it's people don't realize how hard it is to run a business. And that's why I think I ended up in some of the DPC groups because I have a lot more in common with the DPC practice than people would think. And far less in common with someone who's running like a big private specialty group practice, simply because I'm on my own.

So I think that's why I ended up doing those groups, but I also learn a lot and I hope I'm supportive of people in those groups because I think we have a lot of. Absolutely. And

I think that when you say support, especially after 2020, and the divisiveness that we've seen as a country, I think that just the idea that everyone has their own opinion, but if we can support each other to create a field where it's okay to say things like I'm really stressed or I'm scared, especia