DR. LISSA C DAIMARU-ENOKI M.D.
NPI 1083699078
Obstetrics & Gynecology in Vancouver, WA

Q: What is Lissa Daimaru-enoki's NPI number?

The NPI number for Lissa Daimaru-enoki is 1083699078. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Lissa Daimaru-enoki's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment

14406 NE 20TH AVE, VANCOUVER, WA 98686(360) 571-4244(360) 571-4246 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Lissa C Daimaru-enoki M.d. NPPES

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

DR. LISSA C DAIMARU-ENOKI M.D. (NPI 1083699078) is an individual obstetrics & gynecology provider in Vancouver, Washington, licensed in Washington (MD 60170420) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2000).

NPPES Registry Identity

NPI1083699078

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. LISSA C DAIMARU-ENOKICredential: M.D.

Location Address14406 NE 20TH AVEVancouver, WA 98686-1448

Mailing Address14406 Ne 20th AveVancouver, WA 98686-1448 · (360) 571-4244 · Fax (360) 571-4246

Phone(360) 571-4244

Fax(360) 571-4246

Sole ProprietorNo

Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2000

Enumeration DateDecember 13, 2005

Last NPPES UpdateFebruary 4, 2022

✔ NPI 1083699078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in WA · MD 60170420✔ Licensed in AZ · 32929

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

14406 NE 20TH AVE, Vancouver, WA 98686

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Other Identifiers 1

Medicaid867103AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lissa C Daimaru-enoki 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 ID3678548427

PECOS Enrollment IDI20110106000852, I20110107000372

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.

Medicare Billing Reassignments

Medicare enrollment records show Lissa Daimaru-enoki reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Salmon Creek Hospital

0.5 mi

Clinic/Center

2211 NE 139TH ST
Vancouver, WA 98686

Reassigned Medicare billing, Washington enrollment
754 clinicians in this Medicare group

NPI 1356357784 (360) 487-2878

Manor Care Of Salmon Creek Wa, Association

0.7 mi

Skilled Nursing Facility

2811 NE 139TH ST
Vancouver, WA 98686

Reassigned Medicare billing, Washington and Oregon enrollments
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
Also billed through NPI 1093043424 (Oregon)
2,534 clinicians in this Medicare group

NPI 1609171081 (360) 574-5247

Legacy Clinics LLC

14 mi

Clinic/Center

1130 NW 22ND AVE STE 220
Portland, OR 97210

Reassigned Medicare billing, Oregon enrollment
1,248 clinicians in this Medicare group

NPI 1902827272 (503) 413-2901

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98686 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

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