KENNY TOKUJI MICHIOKA
NPI 1215559638
Nurse Practitioner - Family in Monterey, CA
About Kenny Tokuji Michioka NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNY TOKUJI MICHIOKA (NPI 1215559638) is an individual family provider in Monterey, California, licensed in California (95007921) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greenfield, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kenny Tokuji Michioka 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kenny Michioka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salinas, CA 93901
- Reassigned Medicare billing, California enrollment
- 87 clinicians in this Medicare group
King City, CA 93930
- Reassigned Medicare billing, California enrollment
- 156 clinicians in this Medicare group
Fremont, CA 94538
- Reassigned Medicare billing, California enrollment
- 127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Kenny Michioka's NPI number?
The NPI number for Kenny Michioka is 1215559638. It was assigned to this individual provider in the NPPES registry on May 7, 2020.
Where is Kenny Michioka located?
Kenny Michioka practices at 501 Lighthouse Ave, Monterey, CA 93940. The listed phone number is (831) 649-0770.
What is Kenny Michioka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kenny Michioka enrolled in Medicare?
Yes. Kenny Michioka 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.
Which organizations bill Medicare for Kenny Michioka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenny Michioka reassigns Medicare benefits to 3 organizations: Doctors On Duty Medical Group, Inc (Salinas, CA), Southern Monterey County Memorial Hospital (King City, CA) and Bay Area Community Health (Fremont, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenny Michioka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenny Michioka was last updated on June 25, 2024. 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.
# Kenny Tokuji Michioka · NPI 1215559638
Family physician in Monterey, California. Individual provider, active in the CMS NPPES registry since May 7, 2020.
## Identity
- **NPI:** 1215559638 (Entity type: Individual)
- **Enumerated:** May 7, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95007921 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 501 LIGHTHOUSE AVE, Monterey, CA 93940-1439
- **Phone:** (831) 649-0770
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Doctors On Duty Medical Group, Inc (NPI 1568465466, Salinas, CA); Southern Monterey County Memorial Hospital (NPI 1114917564, King City, CA); Bay Area Community Health (NPI 1780054379, Fremont, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215559638) · Data from the CMS NPPES public registry.