MICHAEL B ISHITANI M.D.
NPI 1366420564
Surgery - Surgical Critical Care in Rochester, MN

Q: What is Michael Ishitani's NPI number?

The NPI number for Michael Ishitani is 1366420564. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Q: What is Michael Ishitani's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Michael Ishitani was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 January 06, 2006PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, Aug 14, 2020, Apr 22, 2019 and 1 more (4 updates tracked since 2017).

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About Michael B Ishitani M.d. NPPES

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

MICHAEL B ISHITANI M.D. (NPI 1366420564) is an individual surgical critical care provider in Rochester, Minnesota, licensed in Minnesota (41932) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1983).

NPPES Registry Identity

NPI1366420564

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameMICHAEL B ISHITANICredential: M.D.

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 1983

Enumeration DateJanuary 6, 2006

Last NPPES UpdateMay 16, 20254 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1366420564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in MN · 41932

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License 56304-020 (WI), 41932 (MN)

200 1ST ST SW, Rochester, MN 55905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael B Ishitani M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325183486

PECOS Enrollment IDI20250918002484

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.

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.

EMILY LEASURE MD

Internal Medicine