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DR. THOMAS K. SHIMOTAKE M.D.
NPI 1336184670
Pediatrics in San Francisco, CA

Active since June 19, 2006PECOS Enrolled
91.85/100
CMS Quality Rating
505 PARNASSUS AVE 15TH FL ICN, SAN FRANCISCO, CA 94143(415) 353-1565(415) 476-9976 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas K. Shimotake M.d. NPPES

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

DR. THOMAS K. SHIMOTAKE M.D. (NPI 1336184670) is an individual pediatrics provider in San Francisco, California, licensed in California (A83070) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336184670
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. THOMAS K. SHIMOTAKECredential: M.D.
Location Address505 PARNASSUS AVE 15TH FL ICNSan Francisco, CA 94143-0001
Mailing Address1635 Divisadero St, Suite 625, Box 1821San Francisco, CA 94143-0001
Phone(415) 353-1565
Fax(415) 476-9976
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateJune 9, 2008
✔ NPI 1336184670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A83070
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License A83070 (CA)
505 PARNASSUS AVE 15TH FL ICN, San Francisco, CA 94143
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Other Identifiers 3

Medicare UPINH89319CA
Medicaid00A830700CA
Medicare PIN00A830700CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas K. Shimotake 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Thomas Shimotake reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California San Francisco
Same address
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
Same address
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
Ucsf Pediatrics Associates
0.1 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000
University Of California Sfgh Medical Group
2.8 mi
Medical Oncology
995 POTRERO AVE, BLDG.80, RM 229
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 637 clinicians in this Medicare group
NPI 1356696215 (415) 476-4082

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 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability100
Improvement Activities40
Cost68.01

Other Providers at the Same Location NPPES 4

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

DR. ROBERTA L. KELLER M.D.
Pediatrics
505 PARNASSUS AVE 15TH FL ICN
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1565
DR. RONALD I. CLYMAN M.D.
Pediatrics
505 PARNASSUS AVE 15TH FL ICN
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1565
DR. JOHN C. PARTRIDGE M.D.
Pediatrics
505 PARNASSUS AVE 15TH FL ICN
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1565
DR. JOSEPH A. KITTERMAN M.D.
Pediatrics
505 PARNASSUS AVE 15TH FL ICN
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7242

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 Thomas Shimotake's NPI number?

The NPI number for Thomas Shimotake is 1336184670. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Thomas Shimotake located?

Thomas Shimotake practices at 505 Parnassus Ave 15th Fl Icn, San Francisco, CA 94143. The listed phone number is (415) 353-1565.

What is Thomas Shimotake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Shimotake enrolled in Medicare?

Yes. Thomas Shimotake is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Shimotake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Shimotake reassigns Medicare benefits to 4 organizations: University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA) and University Of California Sfgh Medical Group (San Francisco, 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 Thomas Shimotake'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 Thomas Shimotake was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.