WILLIAM K HIROTA MD
NPI 1952388142
Internal Medicine - Gastroenterology in Tacoma, WA

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
1112 6TH AVE, 200, TACOMA, WA 98405(253) 272-8664(253) 428-8136 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William K Hirota Md NPPES

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

WILLIAM K HIROTA MD (NPI 1952388142) is an individual gastroenterology provider in Tacoma, Washington, licensed in Washington (MD00038042) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and is a graduate of Georgetown University School Of Medicine (1990).

NPPES Registry Identity

NPI1952388142
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameWILLIAM K HIROTACredential: MD
Location Address1112 6TH AVE, 200Tacoma, WA 98405-4040
Mailing Address1112 6th Ave, 200Tacoma, WA 98405-4040 · (253) 272-8664 · Fax (253) 428-8136
Fax(253) 428-8136
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1990
Enumeration DateDecember 28, 2005
Last NPPES UpdateApril 15, 2008
NPI 1952388142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in WA · MD00038042
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1112 6TH AVE, Tacoma, WA 98405

Other Identifiers 5

Medicare ID-Type UnspecifiedAB13882
OtherHI8360Regence
Other133525WA · Labor & Industries
Medicare UPINH10605
Medicaid8250011WA

Accepted Insurance

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

William K Hirota 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 ID6709789837
PECOS Enrollment IDI20100922000211
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.

Areas of Expertise CMS Part B claims 12

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 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.
111 services97 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
108 services106 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
67 services65 patients
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.
53 services53 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.
37 services36 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
28 services28 patients

Hospital Affiliations CMS Care Compare 4

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

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500141
Location34515 9th Avenue SFederal Way, WA 98003 · King County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims390 services$2.64 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims8,873 services$1.01 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.

Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405
Physician Assistant (Surgical)
1112 6TH AVE, STE 300
TACOMA, WA 98405
Pharmacy (Community/Retail Pharmacy)
1112 6TH AVE, STE 101
TACOMA, WA 98405
Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405
Clinic/Center (Endoscopy)
1112 6TH AVE, 200
TACOMA, WA 98405
Nurse Practitioner (Family)
1112 6TH AVE
TACOMA, WA 98405
Clinic/Center
1112 6TH AVE, SUITE 100
TACOMA, WA 98405
Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405

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 William Hirota's NPI number?

The NPI number for William Hirota is 1952388142. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is William Hirota located?

William Hirota practices at 1112 6th Ave 200, Tacoma, WA 98405. The listed phone number is (253) 272-8664.

What is William Hirota's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is William Hirota enrolled in Medicare?

Yes. William Hirota 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.

What insurance does William Hirota accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list William Hirota 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 William Hirota affiliated with any hospitals?

According to CMS data, William Hirota is affiliated with St Clare Hospital, St Joseph Medical Center, St Francis Community Hospital and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for William Hirota was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.