DR. AKIRA NISHIKAWA M.D.
NPI 1588695019
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
69.09/100
CMS Quality Rating
5115 FANNIN ST STE 801, HOUSTON, TX 77004(713) 790-0841(713) 790-9663 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 24, 2023, May 11, 2022, Sep 30, 2021 (3 updates tracked since 2021).

About Dr. Akira Nishikawa M.d. NPPES

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

DR. AKIRA NISHIKAWA M.D. (NPI 1588695019) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (G7295) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1588695019
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. AKIRA NISHIKAWACredential: M.D.
Location Address5115 FANNIN ST STE 801Houston, TX 77004-5870
Mailing Address5115 Fannin St Ste 801Houston, TX 77004-5870 · (713) 790-0841 · Fax (713) 790-9663
Fax(713) 790-9663
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJuly 5, 2006
Last NPPES UpdateMay 22, 20243 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
NPI 1588695019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · G7295
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License G7295 (TX)
5115 FANNIN ST STE 801, Houston, TX 77004

Secondary Practice Location 1

Location 1915 Gessner Rd Ste 300Houston, TX 77024-2528 · Phone (713) 790-0841 · Fax (713) 790-9663

Other Identifiers 1

Medicaid114135001TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Akira Nishikawa M.d. 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 ID3678628096
PECOS Enrollment IDI20091009000429
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.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
670 services314 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
653 services315 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
456 services114 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
261 services237 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
138 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
97 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450847
Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

69.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.69
Promoting Interoperability87
Improvement Activities40
Cost44.1

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.

Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Interventional Cardiology)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Clinical Cardiac Electrophysiology)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004

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 Akira Nishikawa's NPI number?

The NPI number for Akira Nishikawa is 1588695019. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Akira Nishikawa located?

Akira Nishikawa practices at 5115 Fannin St Ste 801, Houston, TX 77004. The listed phone number is (713) 790-0841.

What is Akira Nishikawa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Akira Nishikawa enrolled in Medicare?

Yes. Akira Nishikawa 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.

What insurance does Akira Nishikawa accept?

Health plans from UnitedHealthcare and WellPoint list Akira Nishikawa 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.

Is Akira Nishikawa affiliated with any hospitals?

According to CMS data, Akira Nishikawa is affiliated with Memorial Hermann - Texas Medical Center and Memorial Hermann Katy Hospital.

When was this NPI record last updated?

The NPPES record for Akira Nishikawa was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.