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VICTOR M ISHIDA P.A.
NPI 1194894113
Physician Assistant - Medical in Fruitland, ID

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
910 NW 16TH ST STE 101, FRUITLAND, ID 83619(208) 452-8050(208) 452-8055 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victor M Ishida P.a. NPPES

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

VICTOR M ISHIDA P.A. (NPI 1194894113) is an individual medical provider in Fruitland, Idaho, licensed in Idaho (PA423) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1194894113
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameVICTOR M ISHIDACredential: P.A.
Location Address910 NW 16TH ST STE 101Fruitland, ID 83619-2265
Mailing Address910 Nw 16th St Ste 101Fruitland, ID 83619-2265 · (208) 452-8050 · Fax (208) 452-8055
Phone(208) 452-8050
Fax(208) 452-8055
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 6, 2006
Last NPPES UpdateJune 10, 2022
NPPES CertifiedJune 10, 2022
✔ NPI 1194894113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA423
910 NW 16TH ST STE 101, Fruitland, ID 83619
Open in Google Maps ↗

Other Identifiers 1

Medicaid805922100OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Victor M Ishida P.a. 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 ID3173781655
PECOS Enrollment IDI20120301000396, I20120515000370
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.

Hospital Affiliations CMS Care Compare 3

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380052
Location351 SW 9th StreetOntario, OR 97914 · Malheur County
Emergency services

Other Providers at the Same Location NPPES 6

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

MRS. BECKY JEAN WOLERY LCSW
Social Worker
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Payette County (208) 452-8000
MRS. CRYSTA KIMES PA
Physician Assistant (Medical)
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Payette County (208) 452-8000
BRIANNE MINOR NP
Nurse Practitioner (Family)
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Payette County (208) 452-8050
TODD MICHAEL DUNAWAY DO
Family Medicine (Sports Medicine)
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Payette County (208) 452-8100
CHRISTINA HENINGER BENSON PA
Physician Assistant
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Payette County (208) 452-8000
KRISTYN L MARTIN NP
Nurse Practitioner
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Payette County (208) 452-8000

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 Victor Ishida's NPI number?

The NPI number for Victor Ishida is 1194894113. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Victor Ishida located?

Victor Ishida practices at 910 NW 16th St Ste 101, Fruitland, ID 83619. The listed phone number is (208) 452-8050.

What is Victor Ishida's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Victor Ishida enrolled in Medicare?

Yes. Victor Ishida 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 Victor Ishida accept?

Health plans from Select Health list Victor Ishida 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 Victor Ishida affiliated with any hospitals?

According to CMS data, Victor Ishida is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and Saint Alphonsus Medical Center - Ontario.

When was this NPI record last updated?

The NPPES record for Victor Ishida was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.