1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Emergency Medicine
  6. NPI Profile

KYLE SHIBUYA MD
NPI 1780002808
Emergency Medicine in Bronx, NY

Active since April 05, 2014PECOS Enrolled
100/100
CMS Quality Rating
1825 EASTCHESTER RD., EMERGENCY DEPARTMENT ADMINISTRATION OFFICE, BRONX, NY 10461(718) 904-2904 Get Directions Write a Review

NPPES record last updated: July 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kyle Shibuya Md NPPES

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

KYLE SHIBUYA MD (NPI 1780002808) is an individual emergency medicine provider in Bronx, New York, licensed in New York (293104) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1780002808
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKYLE SHIBUYACredential: MD
Location Address1825 EASTCHESTER RD., EMERGENCY DEPARTMENT ADMINISTRATION OFFICEBronx, NY 10461
Mailing Address1265 Nehoa StHonolulu, HI 96822-3071 · (808) 398-5952
Phone(718) 904-2904
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 5, 2014
Last NPPES UpdateJuly 1, 2018
✔ NPI 1780002808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 293104
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1825 EASTCHESTER RD., Bronx, NY 10461
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5890044390
PECOS Enrollment IDI20180816001238
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 Kyle Shibuya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
2.7 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
95 services95 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
75 services73 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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. CRAIG WERNER M.D., PH.D.
Internal Medicine
1825 EASTCHESTER RD., DEPARTMENT OF MEDICINE, WEILER HOSPITAL
BRONX, NY 10461
Bronx County (718) 904-2400

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 Kyle Shibuya's NPI number?

The NPI number for Kyle Shibuya is 1780002808. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Where is Kyle Shibuya located?

Kyle Shibuya practices at 1825 Eastchester Rd. Emergency Department Administration Office, Bronx, NY 10461. The listed phone number is (718) 904-2904.

What is Kyle Shibuya's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kyle Shibuya enrolled in Medicare?

Yes. Kyle Shibuya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyle Shibuya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Shibuya reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). 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 Kyle Shibuya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kyle Shibuya affiliated with any hospitals?

According to CMS data, Kyle Shibuya is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Shibuya was last updated on July 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.