DR. HITOSHI GENE KOSHIYA M.D.
NPI 1275096851
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Durham, NC
About Dr. Hitoshi Gene Koshiya M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HITOSHI GENE KOSHIYA M.D. (NPI 1275096851) is an individual neurology with special qualifications in child neurology provider in Durham, North Carolina, licensed in North Carolina (2025-02529) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Hitoshi Gene Koshiya 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.
Medicare Billing Reassignments
2Medicare enrollment records show Hitoshi Koshiya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DURHAM, NC 27705
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 Hitoshi Koshiya's NPI number?
The NPI number for Hitoshi Koshiya is 1275096851. It was assigned to this individual provider in the NPPES registry on April 10, 2019.
Where is Hitoshi Koshiya located?
Hitoshi Koshiya practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 668-0477.
What is Hitoshi Koshiya's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Hitoshi Koshiya enrolled in Medicare?
Yes. Hitoshi Koshiya 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 Hitoshi Koshiya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hitoshi Koshiya reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc. (Durham, NC) and Duke University Health System, Inc. (Durham, NC). 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 Hitoshi Koshiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hitoshi Koshiya accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Hitoshi Koshiya 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.
When was this NPI record last updated?
The NPPES record for Hitoshi Koshiya was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Hitoshi Gene Koshiya, M.D. · NPI 1275096851
Neurology with Special Qualifications in Child Neurology physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since April 10, 2019.
## Identity
- **NPI:** 1275096851 (Entity type: Individual)
- **Enumerated:** April 10, 2019
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 2025-02529 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 ERWIN RD, Durham, NC 27705-4699
- **Phone:** (919) 668-0477
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Duke Health Integrated Practice, Inc. (NPI 1205553369, Durham, NC); Duke University Health System, Inc. (NPI 1376574798, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275096851) · Data from the CMS NPPES public registry.