MIDORI NISHIMURA M.D.
NPI 1861534711
Family Medicine in San Jose, CA
About Midori Nishimura M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDORI NISHIMURA M.D. (NPI 1861534711) is an individual family medicine provider in San Jose, California, licensed in California (A061183) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
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
Midori Nishimura M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Midori Nishimura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95112
- Reassigned Medicare billing, California enrollment
- 2 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Midori Nishimura's NPI number?
The NPI number for Midori Nishimura is 1861534711. It was assigned to this individual provider in the NPPES registry on February 13, 2007.
Where is Midori Nishimura located?
Midori Nishimura practices at 280 Jackson St, San Jose, CA 95112. The listed phone number is (408) 293-5864.
What is Midori Nishimura's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Midori Nishimura enrolled in Medicare?
Yes. Midori Nishimura 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 organization bills Medicare for Midori Nishimura's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Midori Nishimura reassigns Medicare benefits to Robert S Nishime MD Inc (San Jose, CA). 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 Midori Nishimura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Midori Nishimura was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Midori Nishimura, M.D. · NPI 1861534711
Family Medicine physician in San Jose, California. Individual provider, active in the CMS NPPES registry since February 13, 2007.
## Identity
- **NPI:** 1861534711 (Entity type: Individual)
- **Enumerated:** February 13, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A061183 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 280 JACKSON ST, San Jose, CA 95112-3256
- **Phone:** (408) 293-5864 · **Fax:** (669) 220-6755
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Robert S Nishime MD Inc (NPI 1689623498, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Stanford University School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** October 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1861534711) · Data from the CMS NPPES public registry.