Active NPI
Gary Tadashi Kishida, MD
- Diagnostic Radiology Physician
- Honolulu, HI
National Provider Identifier
1487681490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD419268
- Practice address
- 88 Piikoi St.
Apt. 3905
Honolulu, HI 96814-4285 - Phone
- (808) 596-2445
- NPI assigned
- Jun 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD419268 | PA | Primary |
Addresses
Primary practice location
88 Piikoi St.
Apt. 3905
Honolulu, HI 96814-4285
Mailing address
88 Piikoi St.
Apt. 3905
Honolulu, HI 96814-4285
Phone (808) 596-2445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G236710 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Imaging Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Geisinger Clinic Selinsgrove | Diagnostic Radiology | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Anchorage, AK
- NPI 1063466688
-
- Family Medicine Physician
- Scranton, PA
- NPI 1184248668
-
- Family Medicine Physician
- Selinsgrove, PA
- NPI 1780642165
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487681490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 PIIKOI ST.",
"address_2": "APT. 3905",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144285",
"telephone_number": "808-596-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 PIIKOI ST.",
"address_2": "APT. 3905",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144285",
"telephone_number": "808-596-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISHIDA",
"first_name": "GARY",
"middle_name": "TADASHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD419268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G236710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.