DR. KIYOMI ANNE HACHIYA MD
NPI 1366657884
Pediatrics in Salt Lake City, UT
About Dr. Kiyomi Anne Hachiya Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIYOMI ANNE HACHIYA MD (NPI 1366657884) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Minnesota (26809) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Iron Mountain.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kiyomi Anne Hachiya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kiyomi Hachiya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Janesville, WI 53548
- Reassigned Medicare billing, Wisconsin enrollment
- 1,155 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- 136 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 84121 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84121
SALT LAKE CITY, UT 84121
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 Kiyomi Hachiya's NPI number?
The NPI number for Kiyomi Hachiya is 1366657884. It was assigned to this individual provider in the NPPES registry on May 10, 2007.
Where is Kiyomi Hachiya located?
Kiyomi Hachiya practices at 6440 South Millrock Drive Suite 175, Salt Lake City, UT 84121. The listed phone number is (800) 328-3075.
What is Kiyomi Hachiya's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kiyomi Hachiya enrolled in Medicare?
Yes. Kiyomi Hachiya is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kiyomi Hachiya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiyomi Hachiya reassigns Medicare benefits to 2 organizations: Mercy Health System Corporation (Janesville, WI) and Dickinson County Healthcare System (Iron River, MI). 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 Kiyomi Hachiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kiyomi Hachiya accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, HealthPartners, Network Health and Providence Health Plan and 2 other insurers list Kiyomi Hachiya 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 Kiyomi Hachiya was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Kiyomi Anne Hachiya, MD · NPI 1366657884
Pediatrics physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1366657884 (Entity type: Individual)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 26809 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6440 SOUTH MILLROCK DRIVE SUITE 175, Salt Lake City, UT 84121
- **Phone:** (800) 328-3075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Mercy Health System Corporation (NPI 1093768962, Janesville, WI); Dickinson County Healthcare System (NPI 1154364586, Iron River, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1366657884) · Data from the CMS NPPES public registry.