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DR. TIMOTHY KIYOSHI ITO MD
NPI 1881860815
Urology in Oakland, CA

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1411 E 31ST ST, OAKLAND, CA 94602(510) 437-4401 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy Kiyoshi Ito Md NPPES

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

DR. TIMOTHY KIYOSHI ITO MD (NPI 1881860815) is an individual urology provider in Oakland, California, licensed in California (A139817) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2008).

NPPES Registry Identity

NPI1881860815
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. TIMOTHY KIYOSHI ITOCredential: MD
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address1411 E 31st StOakland, CA 94602-1018 · (510) 437-4401
Phone(510) 437-4401
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2008
Enumeration DateApril 30, 2008
Last NPPES UpdateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
✔ NPI 1881860815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in CA · A139817✔ Licensed in PA · MD448549
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1411 E 31ST ST, Oakland, CA 94602
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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

Dr. Timothy Kiyoshi Ito 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 ID6103053350
PECOS Enrollment IDI20131213000142, I20160210002650
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 94602 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
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.

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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

MS. YVONNE DIANE ESCARSEGA MSW
Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
MR. JUAN CASILLAS JR. NP
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4800
SADHANA SAMANT MD
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
PATRICIA SCOTT MEYER PA
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (209) 342-2300
NATHALIE BALOGUN MSW MPH
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Alameda County (510) 437-4949
CYNTHIA MARIE ROWDEN RN
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
DR. KAYLA ENRIQUEZ MD
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4564
DR. CHERYL LIN PARK M.D.
Surgery
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4743

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 Timothy Ito's NPI number?

The NPI number for Timothy Ito is 1881860815. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Timothy Ito located?

Timothy Ito practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-4401.

What is Timothy Ito's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Timothy Ito enrolled in Medicare?

Yes. Timothy Ito 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 Timothy Ito was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.