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DR. RODNEY NAKANO NISHIMOTO DMD, MD
NPI 1386037570
Oral & Maxillofacial Surgery in Honolulu, HI

Active since March 11, 2015Opted out of Medicare · through Aug 14, 2027
900 PUNAHOU ST STE 101, HONOLULU, HI 96826(808) 949-8681(808) 949-2488 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2021, Aug 14, 2021, Jul 27, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Rodney Nakano Nishimoto Dmd, Md NPPES

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

DR. RODNEY NAKANO NISHIMOTO DMD, MD (NPI 1386037570) is an individual oral & maxillofacial surgery provider in Honolulu, Hawaii, licensed in Hawaii (DT-2883) and active in the NPI registry since March 2015. He has opted out of Medicare through August 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386037570
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. RODNEY NAKANO NISHIMOTOCredential: DMD, MD
Location Address900 PUNAHOU ST STE 101Honolulu, HI 96826-2500
Mailing Address900 Punahou St Ste 101Honolulu, HI 96826-2500 · (808) 949-8681 · Fax (808) 949-2488
Phone(808) 949-8681
Fax(808) 949-2488
Sole ProprietorYes
Enumeration DateMarch 11, 2015
Last NPPES UpdateOctober 4, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
✔ NPI 1386037570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in HI · DT-2883✔ Licensed in HI · MD-22040
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
900 PUNAHOU ST STE 101, Honolulu, HI 96826
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Rodney Nakano Nishimoto Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 14, 2021 through August 14, 2027.

Opt-Out Effective DateAugust 14, 2021
Opt-Out In Effect ThroughAugust 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

RODNEY N. NISHIMOTO, DMD, MD, LLC
Dentist (Oral and Maxillofacial Surgery)
900 PUNAHOU ST STE 101
HONOLULU, HI 96826
Honolulu County (808) 949-8681

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 Rodney Nishimoto's NPI number?

The NPI number for Rodney Nishimoto is 1386037570. It was assigned to this individual provider in the NPPES registry on March 11, 2015.

Where is Rodney Nishimoto located?

Rodney Nishimoto practices at 900 Punahou St Ste 101, Honolulu, HI 96826. The listed phone number is (808) 949-8681.

What is Rodney Nishimoto's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Rodney Nishimoto enrolled in Medicare?

No. Rodney Nishimoto has opted out of Medicare through August 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Rodney Nishimoto accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Hawaii Dental Service list Rodney Nishimoto 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 Rodney Nishimoto was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.