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CHI UKISHIMA MD
NPI 1639285059
Family Medicine in Omaha, NE

Active since August 21, 2006PECOS Enrolled
984455 NEBRASKA MEDICAL CENTER OMAHA NE 68198 4455, OMAHA, NE 68198(402) 559-4081(402) 559-7372 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chi Ukishima Md NPPES

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

CHI UKISHIMA MD (NPI 1639285059) is an individual family medicine provider in Omaha, Nebraska, licensed in Iowa (R7899) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639285059
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCHI UKISHIMACredential: MD
Location Address984455 NEBRASKA MEDICAL CENTER OMAHA NE 68198 4455Omaha, NE 68198-4455
Mailing Address2402 Marilyn DrPapillion, NE 68046-4219 · (402) 850-8388
Phone(402) 559-4081
Fax(402) 559-7372
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1639285059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · R7899
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
984455 NEBRASKA MEDICAL CENTER OMAHA NE 68198 4455, Omaha, NE 68198
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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 (PECOS)

Chi Ukishima Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Chi Ukishima reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,280 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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 Chi Ukishima's NPI number?

The NPI number for Chi Ukishima is 1639285059. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Chi Ukishima located?

Chi Ukishima practices at 984455 Nebraska Medical Center Omaha NE 68198 4455, Omaha, NE 68198. The listed phone number is (402) 559-4081.

What is Chi Ukishima's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Chi Ukishima enrolled in Medicare?

Yes. Chi Ukishima is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chi Ukishima's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chi Ukishima reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, 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 Chi Ukishima'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 Chi Ukishima was last updated on December 1, 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.