YOSHINOBU NAMIHIRA MD PA
NPI 1639268501
Clinic/Center - Medical Specialty in Vicksburg, MS

Active since October 11, 2006CLIA 25D1012796 · Waiver
3000 HALLS FERRY RD, VICKSBURG, MS 39180(601) 638-9800(601) 638-9808 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yoshinobu Namihira Md Pa NPPES

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

YOSHINOBU NAMIHIRA MD PA (NPI 1639268501) is a healthcare organization registered as a medical specialty in Vicksburg, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Yoshinobu Namihira, President, as its authorized official.

NPPES Registry Identity

NPI1639268501
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameYOSHINOBU NAMIHIRA MD PA
Location Address3000 HALLS FERRY RDVicksburg, MS 39180-4802
Mailing Address3000 Halls Ferry RdVicksburg, MS 39180-4802 · (601) 638-9800 · Fax (601) 638-9808
Fax(601) 638-9808
Organization SubpartNo
Authorized OfficialYoshinobu NamihiraPresident · (601) 638-9800
Enumeration DateOctober 11, 2006
Last NPPES UpdateApril 22, 2008
✔ NPI 1639268501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3000 HALLS FERRY RD, Vicksburg, MS 39180

Other Identifiers 5

Other110030246MS · Rail Road Medicare
Medicaid1366501LA
Medicare PIN512G700023MS
Medicaid00017743MS
Medicare UPINB30812MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yoshinobu Namihira Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20071220000175Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Yoshinobu Namihira MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1871773671
3000 HALLS FERRY RD
Vicksburg, MS 39180
(601) 638-9800
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D1012796

Yoshinobu Namihira MD · Vicksburg, MS
Active · expires May 20, 2027
CLIA Number25D1012796
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorYoshinobu Namihira
Laboratory Phone(601) 638-9800
Laboratory LocationYoshinobu Namihira MD3000 Halls Ferry Road, Vicksburg, MS 39180
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Yoshinobu Namihira MD PA's NPI number?

The NPI number for Yoshinobu Namihira MD PA is 1639268501. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Yoshinobu Namihira MD PA located?

Yoshinobu Namihira MD PA is located at 3000 Halls Ferry Rd, Vicksburg, MS 39180. The listed phone number is (601) 638-9800.

What is Yoshinobu Namihira MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Yoshinobu Namihira MD PA enrolled in Medicare?

Yes. Yoshinobu Namihira MD PA is registered in the Medicare PECOS enrollment system.

When is Yoshinobu Namihira MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Yoshinobu Namihira MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Yoshinobu Namihira MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Yoshinobu Namihira MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1012796) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Yoshinobu Namihira MD PA accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Yoshinobu Namihira MD PA 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 Yoshinobu Namihira MD PA was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.