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DR. JAMES T NINOMIYA MD
NPI 1902858681
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Albuquerque, NM

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
UNM DEPARTMENT OF ORTHOPAEDICS MSC 10-5600, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(414) 272-1647 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James T Ninomiya Md NPPES

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

DR. JAMES T NINOMIYA MD (NPI 1902858681) is an individual adult reconstructive orthopaedic surgery provider in Albuquerque, New Mexico, licensed in New Mexico (MD2020-0114) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of Vermont College Of Medicine (1985).

NPPES Registry Identity

NPI1902858681
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. JAMES T NINOMIYACredential: MD
Location AddressUNM DEPARTMENT OF ORTHOPAEDICS MSC 10-5600, 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressUnm Department Of Orthopaedics Msc 10-5600, 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (414) 272-1647
Phone(414) 272-1647
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1985
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1902858681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in NM · MD2020-0114
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
UNM DEPARTMENT OF ORTHOPAEDICS MSC 10-5600, Albuquerque, NM 87131
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Other Identifiers 2

Other002000128KHumana
Medicaid1902858681WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

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

Dr. James T Ninomiya 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 ID1850416884
PECOS Enrollment IDI20200513000140, I20251204004138
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 Reassignments

5

Medicare enrollment records show James Ninomiya reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presbyterian Healthcare Services
3.4 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1215913470 (505) 841-1234
Unm Medical Group Inc
4.4 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303
Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
1,139 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500
The Medical College Of Wisconsin, Inc.
1,141 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101
Parkview Logansport Hospital, Inc.
1,175 mi
General Acute Care Hospital
1101 MICHIGAN AVE
Logansport, IN 46947
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Memorial Hospital
  • 90 clinicians in this Medicare group
NPI 1942317656 (574) 753-7541

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services14 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
13 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Logansport, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150072
Location1101 Michigan AveLogansport, IN 46947 · Cass County
Emergency services Birthing friendly

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 James Ninomiya's NPI number?

The NPI number for James Ninomiya is 1902858681. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is James Ninomiya located?

James Ninomiya practices at Unm Department Of Orthopaedics Msc 10-5600 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (414) 272-1647.

What is James Ninomiya's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is James Ninomiya enrolled in Medicare?

Yes. James Ninomiya 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 organizations bill Medicare for James Ninomiya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ninomiya reassigns Medicare benefits to 5 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Unm Medical Group Inc (Albuquerque, NM), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Parkview Logansport Hospital, Inc. (Logansport, IN). Each 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 James Ninomiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ninomiya accept?

Health plans from CareSource and UnitedHealthcare list James Ninomiya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Ninomiya affiliated with any hospitals?

According to CMS data, James Ninomiya is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Ninomiya was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.