Individual provider Active NPI

Nelson K Kaneishi, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Chico, CA
National Provider Identifier
1669422929
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G72461 Issued in CA
Practice address
183 E 8TH Ave
Chico, CA 95926-2341
Phone
(530) 891-6244
Fax
(530) 891-0134
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X G72461 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G72461 CA Primary

Addresses

Primary practice location

183 E 8TH Ave
Chico, CA 95926-2341

Mailing address

183 E 8TH Ave
Chico, CA 95926-2341
Phone (530) 891-6244

Other identifiers 1

IdentifierTypeStateIssuer
00G724610MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080627000579 CA Practitioner - Pathology 3375556939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Washington School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Sciences Medical GroupGroup PAC ID 5193750164, 10 clinicians

Practice addresses (Care Compare)

183 E 8TH Ave
Chico, CA 95926-2341
Phone (530) 891-6244

Merit-based Incentive Payment System (MIPS)

Final score
95.97 of 100Reported as group
Quality
89.35
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72461CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Sciences Medical Group Cytopathology CurrentSince Aug 5, 1996 Accepting new patients

Locations

183 E 8th Ave
Chico, CA 95926
Phone (530) 891-6244

Interoperability endpoints

  • Direct secure messaging: nkaneishi15290@enloedirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1669422929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 E 8TH AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262341",
            "telephone_number": "530-891-6244",
            "fax_number": "530-891-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 E 8TH AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262341",
            "telephone_number": "530-891-6244",
            "fax_number": "530-891-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEISHI",
        "first_name": "NELSON",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "G72461",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G72461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G724610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.