MICHELE M K SHIMIZU MD
NPI 1750395273
Family Medicine in Las Vegas, NV

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
10105 BANBURRY CROSS DR STE 150, LAS VEGAS, NV 89144(702) 877-5199 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2024, Apr 11, 2019, Jun 29, 2018 (3 updates tracked since 2018).

About Michele M K Shimizu Md NPPES

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

MICHELE M K SHIMIZU MD (NPI 1750395273) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (17863) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1994).

NPPES Registry Identity

NPI1750395273
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELE M K SHIMIZUCredential: MD
Location Address10105 BANBURRY CROSS DR STE 150Las Vegas, NV 89144-6647
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1994
Enumeration DateJuly 28, 2006
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1750395273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 17863
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.
10105 BANBURRY CROSS DR STE 150, Las Vegas, NV 89144

Other Identifiers 1

Medicaid08854901HI

Accepted 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

Michele M K Shimizu Md 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 ID3072537273
PECOS Enrollment IDI20060113000733, I20180522002258
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 Michele Shimizu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2704 N TENAYA WAY
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 608 clinicians in this Medicare group
Internal Medicine
888 S RANCHO DR
Las Vegas, NV 89106
  • Reassigned Medicare billing, Nevada enrollment
  • 406 clinicians in this Medicare group
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
186 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89144 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Other Providers at the Same Location NPPES 6

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

Family Medicine
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Family Medicine
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Nurse Practitioner (Family)
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Nurse Practitioner (Family)
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Physician Assistant
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Physician Assistant
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144

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 Michele Shimizu's NPI number?

The NPI number for Michele Shimizu is 1750395273. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Michele Shimizu located?

Michele Shimizu practices at 10105 Banburry Cross Dr Ste 150, Las Vegas, NV 89144. The listed phone number is (702) 877-5199.

What is Michele Shimizu's specialty?

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

Is Michele Shimizu enrolled in Medicare?

Yes. Michele Shimizu 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 Michele Shimizu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Shimizu reassigns Medicare benefits to 3 organizations: Optum Medical Group II Rhodes P C (Las Vegas, NV), Southwest Medical Associates, Inc (Las Vegas, NV) and Hawaii Permanente Medical Group Inc (Honolulu, HI). 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 Michele Shimizu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michele Shimizu accept?

Health plans from Kaiser Permanente list Michele Shimizu 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 Michele Shimizu was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.