DR. KEN OCHIAI M.D.
NPI 1629455050
Internal Medicine in Saint Joseph, MI

Active since May 06, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 983-8300(269) 985-4535 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2024, Oct 24, 2018 (2 updates tracked since 2018).

About Dr. Ken Ochiai M.d. NPPES

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

DR. KEN OCHIAI M.D. (NPI 1629455050) is an individual internal medicine provider in Saint Joseph, Michigan, licensed in Michigan (4301116304) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Loma Linda University School Of Medicine (2014).

NPPES Registry Identity

NPI1629455050
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KEN OCHIAICredential: M.D.
Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112
Mailing Address1234 Napier AveSaint Joseph, MI 49085-2112
Fax(269) 985-4535
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2014
Enumeration DateMay 6, 2015
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
NPI 1629455050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301116304
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 4301116304 (MI)
1234 NAPIER AVE, Saint Joseph, MI 49085

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. Ken Ochiai 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 ID8123331626
PECOS Enrollment IDI20181005002001
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 3

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.

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.
289 services110 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
75 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
58 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers43 claims43 services$17.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers58 claims58 services$92.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Occupational Therapist
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Radiology (Diagnostic Radiology)
1234 NAPIER AVE
ST JOSEPH, MI 49085
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Emergency Medicine
1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085

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 Ken Ochiai's NPI number?

The NPI number for Ken Ochiai is 1629455050. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Ken Ochiai located?

Ken Ochiai practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 983-8300.

What is Ken Ochiai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ken Ochiai enrolled in Medicare?

Yes. Ken Ochiai 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 Ken Ochiai accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Ken Ochiai 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 Ken Ochiai affiliated with any hospitals?

According to CMS data, Ken Ochiai is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Ken Ochiai was last updated on June 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.