Hideki Kawanishi, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

01059330A Issued in IN

Practice address

515 S Woodscrest Dr
Bloomington, IN 47401-5524

Phone

(812) 333-8194

Fax

(812) 333-8237

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.21

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bloomington Kidney & Hypertension Specialists PC

  • Nephrology Physician
  • Bloomington, IN
  • NPI 1164536587
  Medicare reassignment Authorized official
• Quincy Physicians & Surgeons Clinic, PLLC

  • Clinic/Center
  • Quincy, IL
  • NPI 1548234198
  NPD (past)
• Quincy Physicians & Surgeons Clinic, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Pittsfield, IL
  • NPI 1871794925
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1376657783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S WOODSCREST DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015524",
            "telephone_number": "812-333-8194",
            "fax_number": "812-333-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S WOODSCREST DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015524",
            "telephone_number": "812-333-8194",
            "fax_number": "812-333-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWANISHI",
        "first_name": "HIDEKI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01059330A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200502110",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000000368280",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallary M Kassel, RBT
• Jason Kasza, M.D.
• Kevin Joseph Kathman, ORT
• Sara Deann Katuzienski, RN, CDCES
• Hadassah Katz, CNM, CPM
• Keisuke Kawata, PHD, ATC
• Delyn Kazdan, MSED
• Ellen Hardin Kazlas, M.S.W.
• Christina Renee Kearby
• Bailee Rochelle Keen, ATC

• Nephrology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.