Individual provider Active NPI

Chisato Nishikawa, MD

  • Family Medicine Physician
  • Richmond, TX
National Provider Identifier
1346861770
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U4289 Issued in TX
Practice address
10745 W Grand Pkwy S
Richmond, TX 77407-8711
Phone
(281) 275-0130
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U4289 TX Primary

Addresses

Primary practice location

10745 W Grand Pkwy S
Richmond, TX 77407-8711

Mailing address

10745 W Grand Pkwy S Ste 200
Richmond, TX 77407-8713
Phone (281) 275-0130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230823000433 TX Practitioner - Family Practice 5092138149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

Hospital & facility affiliations

  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U4289TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Sep 5, 2023 Accepting new patients
TMH Physician Associates PLLC Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Methodist Radiology Associates, PLLC Past Accepting new patients
TMH Physician Associates PLLC PastSince Dec 17, 2023 Accepting new patients

Locations

10745 W Grand Pkwy S
Ste 200
Richmond, TX 77407
Phone (282) 275-0130

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: cnishikawa454294@directhoustonmethodist.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1346861770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 W GRAND PKWY S STE 200",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078713",
            "telephone_number": "281-275-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 W GRAND PKWY S",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078711",
            "telephone_number": "281-275-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIKAWA",
        "first_name": "CHISATO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.