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DAN ISHIHARA M.D., PH.D.
NPI 1679816920
Radiology - Radiation Oncology in Melbourne, FL

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
1344 S APOLLO BLVD STE 103, MELBOURNE, FL 32901(321) 441-8915(321) 727-2990 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2024, Aug 24, 2023, Aug 3, 2021 and 3 more (6 updates tracked since 2018).

About Dan Ishihara M.d., Ph.d. NPPES

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

DAN ISHIHARA M.D., PH.D. (NPI 1679816920) is an individual radiation oncology provider in Melbourne, Florida, licensed in Florida (ME164834) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2013).

NPPES Registry Identity

NPI1679816920
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDAN ISHIHARACredential: M.D., PH.D.
Location Address1344 S APOLLO BLVD STE 103Melbourne, FL 32901-3183
Mailing Address1344 S Apollo Blvd Ste 406Melbourne, FL 32901-3185 · (321) 727-2990 · Fax (321) 724-0455
Phone(321) 441-8915
Fax(321) 727-2990
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateFebruary 6, 20246 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1679816920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in FL · ME164834✔ Licensed in KY · 51400✔ Licensed in IN · 01080042A
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1344 S APOLLO BLVD STE 103, Melbourne, FL 32901
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1315 E Broadway Fl 4Louisville, KY 40202 · Phone (502) 629-2500 · Fax (502) 629-2055
Location 23699 Epworth RdNewburgh, IN 47630-8909 · Phone (812) 471-1200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dan Ishihara M.d., Ph.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 ID3375832579
PECOS Enrollment IDI20240212001667, I20240502003919
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 Reassignments

3

Medicare enrollment records show Dan Ishihara reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Omni Healthcare, Inc.
Same address
Specialist
1344 S APOLLO BLVD STE 406
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 92 clinicians in this Medicare group
NPI 1134191323 (321) 727-2990
Stuart Oncology Associates, PA
58 mi
Hematology & Oncology
11250 SW VILLAGE PKWY
Port St Lucie, FL 34987
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1902858822 (772) 276-7242
Komal Desai MD Inc
2,296 mi
Radiation Oncology
4500 MORNING DR STE 105
Bakersfield, CA 93306
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1538740618 (661) 491-5060

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

Areas of Expertise CMS Part B claims 5

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
90 services11 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.
78 services65 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
33 services11 patients
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402
This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.
25 services11 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.32
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN J. COSTLEIGH M.D.
Radiology (Radiation Oncology)
1344 S APOLLO BLVD STE 103
MELBOURNE, FL 32901
Brevard County (321) 441-8915

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 Dan Ishihara's NPI number?

The NPI number for Dan Ishihara is 1679816920. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Dan Ishihara located?

Dan Ishihara practices at 1344 S Apollo Blvd Ste 103, Melbourne, FL 32901. The listed phone number is (321) 441-8915.

What is Dan Ishihara's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Dan Ishihara enrolled in Medicare?

Yes. Dan Ishihara 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.

Which organizations bill Medicare for Dan Ishihara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dan Ishihara reassigns Medicare benefits to 3 organizations: Omni Healthcare, Inc. (Melbourne, FL), Stuart Oncology Associates, PA (Port St Lucie, FL) and Komal Desai MD Inc (Bakersfield, CA). Each 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 Dan Ishihara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dan Ishihara accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dan Ishihara 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 Dan Ishihara was last updated on February 6, 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.