Individual provider Active NPI

Shinjiro Hirose, M.D.

  • Pediatric Surgery Physician
  • Seattle, WA
National Provider Identifier
1457478646
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD61649944 Issued in WA
Practice address
1959 NE Pacific St
Seattle, WA 98195-0001
Phone
(206) 520-5000
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD61649944 WA
Pediatric Surgery Physician 2086S0120X MD61649944 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-0001

Mailing address

PO Box 50095
Seattle, WA 98145-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070604000555 CA Practitioner - General SurgeryPractitioner - Other (Physician) 8921106634 Reassigns benefits to 5 organizations
I20250507002110 WA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 8921106634 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68938CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Jul 21, 2020 Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 1, 2014 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Sutter Valley Medical Foundation Pediatrics Current Accepting new patients
Association of CHMC and University Physicians Pediatrics CurrentSince Apr 24, 2025 Accepting new patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince Apr 24, 2025 Accepting new patients
Regents of the University of California CurrentSince Jul 16, 2024 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
UCSF Dept of Surgery Pediatric Surgery CurrentSince May 2, 2009 Accepting new patients
The Association of University Physicians CurrentSince Apr 24, 2025 Accepting new patients
Sutter Valley Medical Foundation Pediatrics CurrentSince Jan 5, 2015 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 5, 2015 Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 1, 2014 Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 21, 2020 Accepting new patients
Regents of the University of California CurrentSince Jul 16, 2024 Accepting new patients
University of California San Francisco Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Seattle Children'S Hospital Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000

2315 Stockton Blvd
Ste 1501
Sacramento, CA 95817

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2425 Stockton Blvd
Ste 517
Sacramento, CA 95817
Phone (916) 453-2080

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

2521 Stockton Blvd
Ste 2200
Sacramento, CA 95817
Phone (916) 734-1180

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: shirose90662@hisp.ehr.sutterhealth.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1457478646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIROSE",
        "first_name": "SHINJIRO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61649944",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "WA",
            "license": "MD61649944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.