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PHILIP MICHAEL KIKUCHI MD
NPI 1427345800
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7769(585) 723-7834 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Philip Michael Kikuchi Md NPPES

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

PHILIP MICHAEL KIKUCHI MD (NPI 1427345800) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2011).

NPPES Registry Identity

NPI1427345800
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePHILIP MICHAEL KIKUCHICredential: MD
Location Address1555 LONG POND RDRochester, NY 14626-4164
Mailing Address1555 Long Pond RdRochester, NY 14626-4164 · (585) 723-7769 · Fax (585) 723-7834
Phone(585) 723-7769
Fax(585) 723-7834
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2011
Enumeration DateJuly 6, 2011
Last NPPES UpdateDecember 21, 2021
✔ NPI 1427345800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1555 LONG POND RD, Rochester, NY 14626
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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

Philip Michael Kikuchi Md 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.

PECOS PAC ID5597075184
PECOS Enrollment IDI20151111001146
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 Reassignment

Medicare enrollment records show Philip Kikuchi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,294 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070
VATSALA GOVIND KIRTANI M.D.
Internal Medicine (Hematology & Oncology)
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 922-4020

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 Philip Kikuchi's NPI number?

The NPI number for Philip Kikuchi is 1427345800. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Philip Kikuchi located?

Philip Kikuchi practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7769.

What is Philip Kikuchi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Philip Kikuchi enrolled in Medicare?

Yes. Philip Kikuchi 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 organization bills Medicare for Philip Kikuchi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Kikuchi reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Philip Kikuchi'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 Philip Kikuchi was last updated on December 21, 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.