Active NPI
Shunsuke Yoshida, M.D., M.S.
- Plastic Surgery Physician
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 71672
- Practice address
- 12203 Corporate Pkwy
Mequon, WI 53092 - Phone
- (262) 387-8200
- Fax
- (262) 387-8239
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 71672 | WI | Primary |
| Plastic Surgery Physician | 208200000X | 35.131669 | OH |
Addresses
Primary practice location
12203 Corporate Pkwy
Mequon, WI 53092
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
1329 Cherry Way Dr Ste 700
Gahanna, OH 43230
Phone (855) 687-6227
Other practice location 2
1329 Cherry Way Dr Ste 700
Gahanna, OH 43230
Phone (855) 687-6227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100092631 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | syoshida238318@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Cincinnati College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8383
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.131669 | OH | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Ohio Valley Medical Center, LLC | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Central Ohio Breast and Endocrine Surgery LLC | Past | Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
Interoperability endpoints
- syoshida@direct.ovsurgical.com
- syoshida238318@direct.myadvocateaurora.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.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
-
- Surgery Physician
- Gahanna, OH
- NPI 1073063145
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grafton, WI
- NPI 1265740195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1447454186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12203 CORPORATE PKWY",
"city": "MEQUON",
"state": "WI",
"postal_code": "53092",
"telephone_number": "262-387-8200",
"fax_number": "262-387-8239"
}
],
"practiceLocations": [
{
"address_1": "1329 Cherry Way Dr Ste 700",
"address_purpose": "LOCATION",
"city": "Gahanna",
"state": "OH",
"postal_code": "43230",
"country_code": "US",
"telephone_number": "855-687-6227",
"fax_number": "855-687-6227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1329 Cherry Way Dr Ste 700",
"address_purpose": "LOCATION",
"city": "Gahanna",
"state": "OH",
"postal_code": "43230",
"country_code": "US",
"telephone_number": "855-687-6227",
"fax_number": "855-687-6227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOSHIDA",
"first_name": "SHUNSUKE",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WI",
"license": "71672",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OH",
"license": "35.131669",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100092631",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "12203 Corporate Pkwy",
"city": "Mequon",
"state": "WI",
"country_code": "US",
"postal_code": "53092",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "syoshida238318@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12203 Corporate Pkwy",
"city": "Mequon",
"state": "WI",
"country_code": "US",
"postal_code": "53092",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.