MITSUTOMI ISHIYAMA M.D.
NPI 1063823326
Radiology - Diagnostic Radiology in Seattle, WA

Active since May 08, 2014PECOS EnrolledAccepts Medicare Assignment
1100 9TH AVE, SEATTLE, WA 98101(206) 223-6851(206) 223-6816 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitsutomi Ishiyama M.d. NPPES

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

MITSUTOMI ISHIYAMA M.D. (NPI 1063823326) is an individual diagnostic radiology provider in Seattle, Washington, licensed in Washington (MD60859644) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1063823326
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMITSUTOMI ISHIYAMACredential: M.D.
Location Address1100 9TH AVESeattle, WA 98101-2756
Mailing Address1100 9th AveSeattle, WA 98101-2756 · (206) 223-6851 · Fax (206) 223-6816
Fax(206) 223-6816
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 8, 2014
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
NPI 1063823326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WA · MD60859644
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1100 9TH AVE, Seattle, WA 98101

Accepted Insurance

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

Mitsutomi Ishiyama 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 ID4385956309
PECOS Enrollment IDI20230803001784
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 58

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
6,891 services70 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
3,075 services36 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
729 services729 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
250 services249 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
215 services194 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
210 services184 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500005
Location925 Seneca StSeattle, WA 98101 · King County
Emergency services Birthing friendly

Highline Medical Center

Acute Care Hospitals · Burien, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500011
Location16251 Sylvester Road SWBurien, WA 98166 · King County
Emergency services Birthing friendly

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501304
Location600 East Main StreetElma, WA 98541 · Grays Harbor County
Emergency services

Forks Community Hospital

Critical Access Hospitals · Forks, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501325
Location530 Bogachiel WayForks, WA 98331 · Clallam County
Emergency services Birthing friendly

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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.

Occupational Therapist
1100 9TH AVE
SEATTLE, WA 98101
Pharmacist
1100 9TH AVE, MS C3-PO
SEATTLE, WA 98101
Internal Medicine (Critical Care Medicine)
1100 9TH AVE
SEATTLE, WA 98101
Contractor
1100 9TH AVE
SEATTLE, WA 98101
Physical Medicine & Rehabilitation
1100 9TH AVE
SEATTLE, WA 98101
Speech-Language Pathologist
1100 9TH AVE, MS:H4-PMR
SEATTLE, WA 98101
Surgery
1100 9TH AVE
SEATTLE, WA 98101
Internal Medicine (Gastroenterology)
1100 9TH AVE
SEATTLE, WA 98101

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 Mitsutomi Ishiyama's NPI number?

The NPI number for Mitsutomi Ishiyama is 1063823326. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Where is Mitsutomi Ishiyama located?

Mitsutomi Ishiyama practices at 1100 9th Ave, Seattle, WA 98101. The listed phone number is (206) 223-6851.

What is Mitsutomi Ishiyama's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mitsutomi Ishiyama enrolled in Medicare?

Yes. Mitsutomi Ishiyama 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.

What insurance does Mitsutomi Ishiyama accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mitsutomi Ishiyama as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mitsutomi Ishiyama affiliated with any hospitals?

According to CMS data, Mitsutomi Ishiyama is affiliated with Virginia Mason Medical Center, Highline Medical Center, Summit Pacific Medical Center, Forks Community Hospital and Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Mitsutomi Ishiyama was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.