RYAN SHIBATA MD
NPI 1275095457
Family Medicine in West Memphis, AR

Q: What is Ryan Shibata's NPI number?

The NPI number for Ryan Shibata is 1275095457. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Q: What is Ryan Shibata's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Shibata was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment

2100 N 7TH ST, WEST MEMPHIS, AR 72301(870) 394-7800 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 3, 2026, Dec 19, 2025, Jan 6, 2023 and 1 more (4 updates tracked since 2019).

On this page

About Ryan Shibata Md NPPES

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

RYAN SHIBATA MD (NPI 1275095457) is an individual family medicine provider in West Memphis, Arkansas, licensed in Arkansas (E-20029) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and maintains a secondary practice location in Soddy Daisy.

NPPES Registry Identity

NPI1275095457

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRYAN SHIBATACredential: MD

Location Address2100 N 7TH STWest Memphis, AR 72301-2017

Mailing Address82 T Crowe RdSoddy Daisy, TN 37379-7308 · (760) 636-6741

Phone(870) 394-7800

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 5, 2019

Last NPPES UpdateJanuary 3, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2026

✔ NPI 1275095457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AR · E-20029✔ Licensed in TN · 67565

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2100 N 7TH ST, West Memphis, AR 72301

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Secondary Practice Location 1

Location 182 T Crowe RdSoddy Daisy, TN 37379-7308 · Phone (760) 636-6741

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Ryan Shibata Md 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 ID4981044484

PECOS Enrollment IDI20240501001986, I20251230003425

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 Ryan Shibata reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tennessee River Physicians, PLLC

272 mi

Emergency Medicine

16931 RANKIN AVE
Dunlap, TN 37327

Reassigned Medicare billing, Tennessee enrollment
183 clinicians in this Medicare group

NPI 1699212761 (423) 949-2000

Erlanger Health

277 mi

Internal Medicine

979 E 3RD ST STE A440
Chattanooga, TN 37403

Reassigned Medicare billing, Tennessee enrollment
679 clinicians in this Medicare group

NPI 1477256303 (423) 778-2867

Southeastern Emergency Physicians LLC

426 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Arkansas enrollment
310 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

136 services104 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440104

Location975 E 3rd StChattanooga, TN 37403 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72301 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Other Providers at the Same Location NPPES 5

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

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