KATHARINE A KISHIYAMA MD
NPI 1760829600
Surgery in Daly City, CA

Active since June 02, 2013PECOS EnrolledAccepts Medicare Assignment
1900 SULLIVAN AVE, DALY CITY, CA 94015(650) 992-4000 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2021, Apr 24, 2020 (2 updates tracked since 2020).

About Katharine A Kishiyama Md NPPES

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

KATHARINE A KISHIYAMA MD (NPI 1760829600) is an individual surgery provider in Daly City, California, licensed in California (A163919) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of Georgetown University School Of Medicine (2013).

NPPES Registry Identity

NPI1760829600
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKATHARINE A KISHIYAMACredential: MD
Location Address1900 SULLIVAN AVEDaly City, CA 94015-2229
Mailing Address953 Clayton St Apt 5San Francisco, CA 94117-4425 · (703) 402-0447
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2013
Enumeration DateJune 2, 2013
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
NPI 1760829600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A163919
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License A163919 (CA)
1900 SULLIVAN AVE, Daly City, CA 94015

Secondary Practice Location 1

Location 11250 E Marshall St, SURG: GENERAL SURGERY CLINICRichmond, VA 23298-5051 · Phone (804) 828-7391 · Fax (804) 828-0191

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katharine A Kishiyama 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 ID3173763786
PECOS Enrollment IDI20191223001772
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
103 services31 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1900 SULLIVAN AVE, LOWER LEVEL
DALY CITY, CA 94015
General Acute Care Hospital
1900 SULLIVAN AVE
DALY CITY, CA 94015
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
Radiology (Radiation Oncology)
1900 SULLIVAN AVE, RADIATION ONCOLOGY DEPT
DALY CITY, CA 94015
Internal Medicine
1900 SULLIVAN AVE, LOWER LEVEL
DALY CITY, CA 94015
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
Nurse Practitioner (Family)
1900 SULLIVAN AVE
DALY CITY, CA 94015

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 Katharine Kishiyama's NPI number?

The NPI number for Katharine Kishiyama is 1760829600. It was assigned to this individual provider in the NPPES registry on June 2, 2013.

Where is Katharine Kishiyama located?

Katharine Kishiyama practices at 1900 Sullivan Ave, Daly City, CA 94015. The listed phone number is (650) 992-4000.

What is Katharine Kishiyama's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Katharine Kishiyama enrolled in Medicare?

Yes. Katharine Kishiyama 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.

When was this NPI record last updated?

The NPPES record for Katharine Kishiyama was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.