TETSUO ISHIMORI MD
NPI 1073716874
Internal Medicine - Cardiovascular Disease in Bakersfield, CA

Q: What is Tetsuo Ishimori's NPI number?

The NPI number for Tetsuo Ishimori is 1073716874. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Q: What is Tetsuo Ishimori's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Tetsuo Ishimori was last updated on May 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 08, 2007PECOS Enrolled

2901 SILLECT AVE, SUITE 100, BAKERSFIELD, CA 93308(661) 323-8384(661) 323-9326 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tetsuo Ishimori Md NPPES

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

TETSUO ISHIMORI MD (NPI 1073716874) is an individual cardiovascular disease provider in Bakersfield, California, licensed in California (A30114) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073716874

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameTETSUO ISHIMORICredential: MD

Location Address2901 SILLECT AVE, SUITE 100Bakersfield, CA 93308-6370

Mailing AddressPo Box 1139Bakersfield, CA 93302-1139 · (661) 323-8384 · Fax (661) 323-9326

Phone(661) 323-8384

Fax(661) 323-9326

Sole ProprietorNo

Enumeration DateJune 8, 2007

Last NPPES UpdateMay 6, 2009

✔ NPI 1073716874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · A30114

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2901 SILLECT AVE, Bakersfield, CA 93308

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Other Identifiers 5

Medicare PIN00A301140CA

Other060012146CA · Railroad Medicare

Other953511288CA · Tax Id

Other00A301141CA · Individual Ptan

Medicare UPINA25971CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tetsuo Ishimori Md 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 93308 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

$135.05 typical visit price

range $59.26 – $178.09

Typical copayment $33.76 (range $14.81 – $44.52)

Most-billed visit code 99204

Established Patient

$73.67 typical visit price

range $19.34 – $145.64

Typical copayment $18.41 (range $4.83 – $36.41)

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.

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