DR. MITCHELL NISHIMOTO M.D.
NPI 1003917287
Internal Medicine in Van Nuys, CA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
15243 VANOWEN ST, SUITE 406, VAN NUYS, CA 91405(818) 785-3889(818) 780-2106 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mitchell Nishimoto M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITCHELL NISHIMOTO M.D. (NPI 1003917287) is an individual internal medicine provider in Van Nuys, California, licensed in California (G76976) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1991).

NPPES Registry Identity

NPI1003917287
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MITCHELL NISHIMOTOCredential: M.D.
Location Address15243 VANOWEN ST, SUITE 406Van Nuys, CA 91405-3605
Mailing Address15243 Vanowen St, Ste 408Van Nuys, CA 91405-3658 · (818) 785-3889 · Fax (818) 780-2106
Fax(818) 780-2106
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1991
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 25, 2018
NPI 1003917287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G76976
Definition

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, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

15243 VANOWEN ST, Van Nuys, CA 91405

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mitchell Nishimoto M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143288589
PECOS Enrollment IDI20041230000675
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
573 services100 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims40 services$6.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
15243 VANOWEN ST, SUITE 300
VAN NUYS, CA 91405
Internal Medicine (Infectious Disease)
15243 VANOWEN ST, SUITE 406
VAN NUYS, CA 91405
Internal Medicine (Rheumatology)
15243 VANOWEN ST, STE 306
VAN NUYS, CA 91405
Pharmacy (Community/Retail Pharmacy)
15243 VANOWEN ST, SUITE 100
VAN NUYS, CA 91405
Pediatrics
15243 VANOWEN ST, SUITE 300
VAN NUYS, CA 91405
Dentist (General Practice)
15243 VANOWEN ST, SUITE 404
VAN NUYS, CA 91405
Obstetrics & Gynecology
15243 VANOWEN ST, SUITE 504
VAN NUYS, CA 91405
Radiology (Diagnostic Radiology)
15243 VANOWEN ST
VAN NUYS, CA 91405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Nishimoto's NPI number?

The NPI number for Mitchell Nishimoto is 1003917287. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Mitchell Nishimoto located?

Mitchell Nishimoto practices at 15243 Vanowen St Suite 406, Van Nuys, CA 91405. The listed phone number is (818) 785-3889.

What is Mitchell Nishimoto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mitchell Nishimoto enrolled in Medicare?

Yes. Mitchell Nishimoto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mitchell Nishimoto was last updated on September 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.