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DR. MARY KANASHIRO M.D.
NPI 1114949211
Internal Medicine in Tinley Park, IL

Active since July 25, 2006PECOS Enrolled
6703 W 159TH STREET, SUITE 109, TINLEY PARK, IL 60477(708) 532-1104(708) 532-5539 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2018, Apr 28, 2017 (2 updates tracked since 2017).

About Dr. Mary Kanashiro M.d. NPPES

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

DR. MARY KANASHIRO M.D. (NPI 1114949211) is an individual internal medicine provider in Tinley Park, Illinois, licensed in Illinois (036088831) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114949211
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARY KANASHIROCredential: M.D.
Location Address6703 W 159TH STREET, SUITE 109Tinley Park, IL 60477-1782
Mailing Address27702 Network PlChicago, IL 60673-1277 · (708) 862-7674 · Fax (708) 862-1781
Phone(708) 532-1104
Fax(708) 532-5539
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateDecember 19, 20182 updates tracked since enumeration
✔ NPI 1114949211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036088831
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.
6703 W 159TH STREET, Tinley Park, IL 60477
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Other Identifiers 3

Medicaid036088831IL
Other231199013IL · Medicare
OtherP00940434IL · Rrm

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Kanashiro M.d. 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 60477 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 suppliers17 claims62 services$6.59 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 2

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

DR. GARY R PEPLINSKI MD
Surgery
6703 W 159TH STREET, SUITE 110
TINLEY PARK, IL 60477
Cook County (708) 331-1122
DR. CARL WINSTON JOHNSON II MD
Surgery
6703 W 159TH STREET, SUITE 110
TINLEY PARK, IL 60477
Cook County (708) 331-1122

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 Mary Kanashiro's NPI number?

The NPI number for Mary Kanashiro is 1114949211. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Mary Kanashiro located?

Mary Kanashiro practices at 6703 W 159th Street Suite 109, Tinley Park, IL 60477. The listed phone number is (708) 532-1104.

What is Mary Kanashiro's specialty?

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

Is Mary Kanashiro enrolled in Medicare?

Yes. Mary Kanashiro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Kanashiro was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.