Individual provider Active NPI

Gary Donald Kaneshige, MD

  • Anesthesiology Physician
  • Spokane, WA
National Provider Identifier
1093726911
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
43103 Issued in WA
Practice address
601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone
(509) 344-2663
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 43103 WA Primary

Addresses

Primary practice location

601 W 5TH Ave Ste 400
Spokane, WA 99204-2715

Mailing address

601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone (509) 344-2663

Other identifiers 1

IdentifierTypeStateIssuer
8376949MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000802 WA Practitioner - Anesthesiology 9335134881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Illinois Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12410 E Sinto Ave
Suite 201
Spokane Valley, WA 99216-2280
Phone (509) 928-4334

212 E Central Ave
Suite 140
Spokane, WA 99208-6289
Phone (509) 465-1300

2710 E 57TH Ave
Spokane, WA 99223-6678
Phone (509) 252-2354

601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663

9310 N Division St
Spokane, WA 99218-1227
Phone (509) 789-2836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43103WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopaedic Specialists, P.S. CurrentSince May 8, 2021 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince May 8, 2021 Accepting new patients
Anesthesia Associates, PS Anesthesiology CurrentSince Jan 1, 2004 Accepting new patients

Locations

212 E Central Ave
Ste 140
Spokane, WA 99208
Phone (509) 252-3959

104 W 5th Ave
Ste 250E
Spokane, WA 99204
Phone (509) 838-1547

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

601 W 5th Ave
Ste 500
Spokane, WA 99204
Phone (509) 344-2663

12410 E Sinto Ave
Ste 201
Spokane Valley, WA 99216
Phone (509) 928-4334

Interoperability endpoints

  • Direct secure messaging: gary.kaneshige.1@16598.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1093726911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663",
            "fax_number": "509-624-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANESHIGE",
        "first_name": "GARY",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "43103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8376949",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.