TAKUMA MICHAEL ISHIBASHI MBBS
NPI 1063353761
Emergency Medicine in Rochester, MN

Q: What is Takuma Ishibashi's NPI number?

The NPI number for Takuma Ishibashi is 1063353761. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Q: What is Takuma Ishibashi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Takuma Ishibashi was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2026PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 24, 2026, Apr 6, 2026 (2 updates tracked since 2026).

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About Takuma Michael Ishibashi Mbbs NPPES

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

TAKUMA MICHAEL ISHIBASHI MBBS (NPI 1063353761) is an individual emergency medicine provider in Rochester, Minnesota, licensed in Minnesota (36154) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063353761

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTAKUMA MICHAEL ISHIBASHICredential: MBBS

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511 · Fax (507) 284-0702

Phone(507) 284-2511

Sole ProprietorNo

Enumeration DateApril 6, 2026

Last NPPES UpdateApril 24, 20262 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1063353761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MN · 36154

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

200 1ST ST SW, Rochester, MN 55905

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Takuma Michael Ishibashi Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

EMILY LEASURE MD

Internal Medicine