Individual provider Active NPI

Yasushi F Shibutani, MD

  • Urology Physician
  • Huntingdon Valley, PA
National Provider Identifier
1538106901
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD044369E Issued in PA
Practice address
1800 Byberry Rd Ste 1203
Huntingdon Valley, PA 19006
Phone
(215) 517-1100
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD044369E PA Primary

Addresses

Primary practice location

1800 Byberry Rd Ste 1203
Huntingdon Valley, PA 19006

Mailing address

1235 Old York Rd Ste 218
Abington, PA 19001-3841
Phone (215) 517-1100

Other practice location 1

1235 Old York Rd
Ste 210
Abington, PA 19001
Phone (215) 517-1100

Other identifiers 1

IdentifierTypeStateIssuer
01625268MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20040216000197 PA Practitioner - Urology 8325933823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Columbia University College of Physicians and Surgeons, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1235 Old York Rd
Suite 218
Abington, PA 19001-3841
Phone (215) 517-1100

1800 Byberry Rd
Suite 1203
Huntingdon Valley, PA 19006-3524
Phone (215) 947-4105

211 S Gulph Rd
Suite 200 the Prostate Center
King of Prussia, PA 19406-3101
Phone (610) 579-3577

400 Davis Dr
Plymouth Meeting, PA 19462-1718
Phone (610) 825-2151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044369EPAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC / Dba Midlantic Urology Urology CurrentSince Apr 20, 2017 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Apr 20, 2017 Accepting new patients
Alliance Physician Services, PC Urology Current Accepting new patients
Alliance Physician Services, PC Urology Past Accepting new patients

Locations

1235 Old York Rd
Ste 218
Abington, PA 19001
Phone (215) 517-1100

1235 Old York Rd
Ste 210
Abington, PA 19001
Phone (215) 517-1100

1800 Byberry Rd
Ste 1203
Huntingdon Valley, PA 19006
Phone (215) 517-1100

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 230-0736

Interoperability endpoints

  • Direct secure messaging: yshibutani@urologyhealthspecialists.medentdirect.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1538106901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 OLD YORK RD STE 218",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013841",
            "telephone_number": "215-517-1100",
            "fax_number": "215-517-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD STE 1203",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "215-517-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Old York Rd",
            "address_2": "Ste 210",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "19001",
            "country_code": "US",
            "telephone_number": "215-517-1100",
            "fax_number": "215-517-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIBUTANI",
        "first_name": "YASUSHI",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD044369E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01625268",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.