Look up the most recent NPI and PECOS records

Shuta Ishigami

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Shuta Ishigami is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1770364838
Provider Type
Individual
Full Name
Ishigami, Shuta
Gender
Male

Sole Proprietor
Yes
Enumeration Date
10/13/2023
Last Updated
1/8/2024

Contact Information

Practice Location

6651 Main St, Houston, TX 77030-2351

(832) 822-1359

Unlisted Fax

Mailing Location

20 Rakaia Way, Unit 1204, Melborune, Vic 03008 (Australia)

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License 48140 Texas

Shuta Ishigami

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Salazar, Jorge D.

Lee, Taek Yeon

Salas De Armas, Ismael Alejandro

Horne, David

Livesay, James J

He, Yuncen Atticus

Sledz, Mariusz Andrzej

Mehran, Reza J.

Marcano, Juan Eduardo

Lawrie, Gerald Murray