DR. KATSUFUMI NISHIDA M.D.
NPI 1912118159
Internal Medicine - Pulmonary Disease in Honolulu, HI

Q: What is Katsufumi Nishida's NPI number?

The NPI number for Katsufumi Nishida is 1912118159. It was assigned to this individual provider in the NPPES registry on May 26, 2007.

Q: What is Katsufumi Nishida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Katsufumi Nishida was last updated on July 21, 2024. 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.

Active since May 26, 2007PECOS EnrolledAccepts Medicare Assignment

888 S KING ST, HONOLULU, HI 96813(808) 522-4321(808) 522-3024 Get Directions Write a Review

NPPES record last updated: July 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2024, Oct 15, 2022 (2 updates tracked since 2022).

On this page

About Dr. Katsufumi Nishida M.d. NPPES

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

DR. KATSUFUMI NISHIDA M.D. (NPI 1912118159) is an individual pulmonary disease provider in Honolulu, Hawaii, licensed in Hawaii (MD-14647) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1912118159

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. KATSUFUMI NISHIDACredential: M.D.

Location Address888 S KING STHonolulu, HI 96813-3097

Mailing Address3125 Chad Dr Ste 100Eugene, OR 97408-7440 · (541) 687-1712 · Fax (541) 687-7943

Phone(808) 522-4321

Fax(808) 522-3024

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 26, 2007

Last NPPES UpdateJuly 21, 20242 updates tracked since enumeration

NPPES CertifiedJuly 21, 2024

✔ NPI 1912118159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in HI · MD-14647

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

888 S KING ST, Honolulu, HI 96813

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.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. Katsufumi Nishida 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.

PECOS PAC ID2264606185

PECOS Enrollment IDI20240906000589

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

Medicare enrollment records show Katsufumi Nishida reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Straub Clinic & Hospital

Same address

Multi-Specialty

888 S KING ST
Honolulu, HI 96813

Reassigned Medicare billing, Hawaii enrollment
664 clinicians in this Medicare group

NPI 1457306508 (808) 522-4000

Sound Physicians Intensivists Of Washington PLLC

2,885 mi

Critical Care Medicine

101 W 8TH AVE
Spokane, WA 99204

Reassigned Medicare billing, Oregon enrollment
82 clinicians in this Medicare group

NPI 1528582699 (507) 474-3131

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 19

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 patients

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.

78 services73 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.

75 services60 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.

57 services57 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

49 services33 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

46 services46 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

40 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

39 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services24 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.

32 services22 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

28 services28 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

28 services24 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

27 services26 patients

Test to determine lung volumes using sensors 94726

27 services17 patients

Test to examine how well the lungs exchange gases 94729

27 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

26 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

24 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120001

Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County

Emergency services Birthing friendly

Kuakini Medical Center

Acute Care Hospitals · Honolulu, HI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120007

Location347 North Kuakini StreetHonolulu, HI 96817 · Honolulu County

Emergency services

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120022

Location888 S King StreetHonolulu, HI 96813 · Honolulu County

Emergency services

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120026

Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

96%133 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 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

12 suppliers59 claims59 services$37.21 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

6 suppliers36 claims83 services$1.38 avg. paid by Medicare

Small volume nonfiltered pneumatic nebulizer, disposable A7004

DME-Other DME · category DE000N

1 supplier11 claims22 services$0.89 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers32 claims32 services$93.62 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

10 suppliers43 claims91 services$37.56 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers18 claims87 services$18.32 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers28 claims28 services$51.34 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers39 claims39 services$20.20 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

13 suppliers68 claims318 services$2.53 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

10 suppliers26 claims26 services$12.23 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers77 claims79 services$17.84 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers60 claims60 services$893.44 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers14 claims14 services$111.30 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

2 suppliers11 claims11 services$263.22 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers12 claims12 services$10.40 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

7 suppliers77 claims77 services$4.91 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers33 claims33 services$27.60 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

11 suppliers438 claims441 services$89.06 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

8 suppliers224 claims225 services$32.63 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers18 claims4,717 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

7 suppliers57 claims5,200 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers18 claims752 services$0.83 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers80 claims80 services$23.77 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 20

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

MS. SYLVIA Y. TERADA NP

Nurse Practitioner

888 S KING ST, DERMATOLOGY DEPARTMENT
HONOLULU, HI 96813

Honolulu County (808) 522-4360

DR. JOSEPH R. VIERRA M.D.

Internal Medicine (Critical Care Medicine)

888 S KING ST
HONOLULU, HI 96813

Honolulu County (808) 522-4000

DR. BEAU K. NAKAMOTO M.D.

Psychiatry & Neurology (Neurology)

888 S KING ST
HONOLULU, HI 96813

Honolulu County (808) 522-4000

DR. JAY L. GREKIN M.D.

Dermatology

888 S KING ST
HONOLULU, HI 96813

Honolulu County (808) 522-4360

DR. TIMOTHY CHRISTOPHER LAEGER M.D.

Emergency Medicine

888 S KING ST
HONOLULU, HI 96813

Honolulu County (808) 522-3714

SCOTT T YOKOTA

Physical Therapist

888 S KING ST
HONOLULU, HI 96813

Honolulu County (808) 522-3496

JESSICA GREEN

Surgery (Vascular Surgery)

888 S KING ST
HONOLULU, HI 96813

Honolulu County (808) 522-4469

TAMMY YAGUCHI MPT

Physical Therapist

888 S KING ST
HONOLULU, HI 96813

Honolulu County (808) 522-4602

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 Katsufumi Nishida's NPI number?

The NPI number for Katsufumi Nishida is 1912118159. It was assigned to this individual provider in the NPPES registry on May 26, 2007.

Where is Katsufumi Nishida located?

Katsufumi Nishida practices at 888 S King St, Honolulu, HI 96813. The listed phone number is (808) 522-4321.

What is Katsufumi Nishida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Katsufumi Nishida enrolled in Medicare?

Yes. Katsufumi Nishida 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 Katsufumi Nishida's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katsufumi Nishida reassigns Medicare benefits to 2 organizations: Straub Clinic & Hospital (Honolulu, HI) and Sound Physicians Intensivists Of Washington PLLC (Spokane, WA). 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 Katsufumi Nishida's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katsufumi Nishida accept?

Health plans from HMSA and Kaiser Permanente list Katsufumi Nishida 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 Katsufumi Nishida affiliated with any hospitals?

According to CMS data, Katsufumi Nishida is affiliated with The Queens Medical Center, Kuakini Medical Center, Straub Clinic And Hospital and Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Katsufumi Nishida was last updated on July 21, 2024. 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.