Maki Ishizuka, MD

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

59982 Issued in KY

Practice address

Ky Children'S Hospital 800 Rose St 4TH FL
Lexington, KY 40536-3056

Phone

(859) 218-0921

Fax

(859) 257-1831

NPI assigned

Jul 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Pediatric Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kentucky Medical Services Foundation, Inc

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1326091448
  Medicare reassignment Care Compare group NPD
• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• University of Kentucky

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1518911338
  NPD (past)

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1447634217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 41ST AVE",
            "address_2": "APT6J",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773056",
            "telephone_number": "267-670-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KY CHILDREN'S HOSPITAL 800 ROSE ST 4TH FL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405363056",
            "telephone_number": "859-218-0921",
            "fax_number": "859-257-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7210 41st Ave",
            "address_2": "Apt6J",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773056",
            "country_code": "US",
            "telephone_number": "267-670-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHIZUKA",
        "first_name": "MAKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "KY",
            "license": "59982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber L Isbell, BS
• Claudia Legris Isenhour, RN
• Alison Iser, MD
• Blake Isernhagen, MD
• Ricky D. Isernhagen, M.D.
• Daniyal Ishtiaq, MD
• Mohammed Tashfiqul Islam, M.D.
• Alexandra Nicole Isler, APRN
• Roisin Mary Isley
• Bahaaeldeen Senousy Mohammed Ismail, M.D.

• Pediatric Critical Care Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Critical Care Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.