LOU NISHIMURA M.D.
NPI 1831207315
Internal Medicine in Carmichael, CA

Active since August 26, 2006PECOS Enrolled
6500 COYLE AVE, SUITE 1, CARMICHAEL, CA 95608(916) 967-4030(916) 967-4060 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lou Nishimura M.d. NPPES

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

LOU NISHIMURA M.D. (NPI 1831207315) is an individual internal medicine provider in Carmichael, California, licensed in California (G46283) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831207315
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLOU NISHIMURACredential: M.D.
Location Address6500 COYLE AVE, SUITE 1Carmichael, CA 95608-0301
Mailing Address3010 Beard RdNapa, CA 94558-3442 · (707) 255-8825 · Fax (707) 252-9325
Fax(916) 967-4060
Sole ProprietorNo
Enumeration DateAugust 26, 2006
Last NPPES UpdateDecember 1, 2011
NPI 1831207315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G46283
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6500 COYLE AVE, Carmichael, CA 95608

Other Identifiers 1

Medicare UPINA89831CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lou Nishimura M.d. 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 95608 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%522 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims41 services$5.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims13 services$0.90 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers25 claims25 services$32.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$71.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers11 claims29 services$28.27 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers15 claims81 services$14.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Primary Care)
6500 COYLE AVE
CARMICHAEL, CA 95608
Internal Medicine
6500 COYLE AVE, SUITE 1
CARMICHAEL, CA 95608
Clinic/Center
6500 COYLE AVE, #4
CARMICHAEL, CA 95608
Dentist
6500 COYLE AVE, #6
CARMICHAEL, CA 95608
Family Medicine
6500 COYLE AVE, SUITE 5
CARMICHAEL, CA 95608
Dentist (Pediatric Dentistry)
6500 COYLE AVE, SUITE 7
CARMICHAEL, CA 95608
Dentist (General Practice)
6500 COYLE AVE, SUITE 7
CARMICHAEL, CA 95608
Hearing Aid Equipment
6500 COYLE AVE, SUITE 1
CARMICHAEL, CA 95608

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 Lou Nishimura's NPI number?

The NPI number for Lou Nishimura is 1831207315. It was assigned to this individual provider in the NPPES registry on August 26, 2006.

Where is Lou Nishimura located?

Lou Nishimura practices at 6500 Coyle Ave Suite 1, Carmichael, CA 95608. The listed phone number is (916) 967-4030.

What is Lou Nishimura's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lou Nishimura enrolled in Medicare?

Yes. Lou Nishimura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lou Nishimura was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.