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DR. SHINPEI SHIBATA M.D.
NPI 1609179639
Pediatrics - Pediatric Critical Care Medicine in Portland, OR

Active since December 14, 2010PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
707 SW GAINES ST, MAIL CODE: CDRCP, PORTLAND, OR 97239(503) 494-1544 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shinpei Shibata M.d. NPPES

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

DR. SHINPEI SHIBATA M.D. (NPI 1609179639) is an individual pediatric critical care medicine provider in Portland, Oregon, licensed in Oregon (154527) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1609179639
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. SHINPEI SHIBATACredential: M.D.
Location Address707 SW GAINES ST, MAIL CODE: CDRCPPortland, OR 97239-2901
Mailing Address1200 Nw Marshall St, Ste 4340Portland, OR 97209-3165
Phone(503) 494-1544
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 14, 2010
Last NPPES UpdateAugust 9, 2011
✔ NPI 1609179639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in OR · 154527✔ Licensed in CA · 21500017
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
707 SW GAINES ST, Portland, OR 97239
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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. Shinpei Shibata 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 ID2365610367
PECOS Enrollment IDI20110718000776
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 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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

MS. MARGARET WOLF
Occupational Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8095
MRS. LEAH BJORNSKOV WESSENBERG FNP
Nurse Practitioner (Family)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-7859
DR. MICHAEL AVRAM HARRIS PH.D.
Psychologist (Clinical Child & Adolescent)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8942
DANIELLE MOYER PHD
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-6337
DAVID L. OLESON PT
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (800) 452-3563
JESSICA NASON
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (860) 917-2128
UNIVERSITY PROFESSIONAL SERVICES
Clinic/Center (Multi-Specialty)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-9000
OREGON HEALTH AND SCIENCE UNIVERSITY
Clinic/Center
707 SW GAINES ST, MAILCODE: CDRC -- ATTN: JEFF REHA
PORTLAND, OR 97239
Multnomah County (503) 494-2709

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 Shinpei Shibata's NPI number?

The NPI number for Shinpei Shibata is 1609179639. It was assigned to this individual provider in the NPPES registry on December 14, 2010.

Where is Shinpei Shibata located?

Shinpei Shibata practices at 707 SW Gaines St Mail Code: Cdrcp, Portland, OR 97239. The listed phone number is (503) 494-1544.

What is Shinpei Shibata's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Shinpei Shibata enrolled in Medicare?

Yes. Shinpei Shibata 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.

When was this NPI record last updated?

The NPPES record for Shinpei Shibata was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.