Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BRENT SHISHIDO MD
NPI 1720659428
Urology in Omaha, NE

Q: What is Brent Shishido's NPI number?

The NPI number for Brent Shishido is 1720659428. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Q: What is Brent Shishido's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Shishido was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 05, 2021PECOS Enrolled

7710 MERCY RD STE 202, OMAHA, NE 68124(402) 280-4792 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Jul 5, 2021 (2 updates tracked since 2021).

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About Brent Shishido Md NPPES

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

BRENT SHISHIDO MD (NPI 1720659428) is an individual urology provider in Omaha, Nebraska, licensed in Illinois (036180449) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1720659428

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameBRENT SHISHIDOCredential: MD

Location Address7710 MERCY RD STE 202Omaha, NE 68124-2353

Mailing Address7710 Mercy Rd Ste 202Omaha, NE 68124-2353 · (402) 280-4792

Phone(402) 280-4792

Sole ProprietorNo

Enumeration DateJuly 5, 2021

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1720659428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in IL · 036180449✔ Licensed in NE · 9122

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

7710 MERCY RD STE 202, Omaha, NE 68124

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Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-9000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent Shishido 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68124 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

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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.

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