Individual provider Active NPI

Shoji Ishigami, M.D., PH.D.

  • Physical Medicine & Rehabilitation Physician
  • Martinsburg, WV
National Provider Identifier
1699065771
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
28503 Issued in WV
Practice address
880 N Tennessee Ave Ste 104
Martinsburg, WV 25401-9401
Phone
(304) 596-5160
Fax
(304) 596-5161
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 28503 WV Primary
Physical Medicine & Rehabilitation Physician 208100000X D0081409 MD

Addresses

Primary practice location

880 N Tennessee Ave Ste 104
Martinsburg, WV 25401-9401

Mailing address

9909 Medical Center Dr
Rockville, MD 20850-6361
Phone (240) 864-6000

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sishigami126507@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address sishigami126507@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address sishigami126507@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 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
I20181003003562 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3173819299 Reassigns benefits to 1 organization
I20181114003459 WV Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3173819299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

13 Western Maryland Pkwy
106 Wvu Medicine Brain and Spine
Hagerstown, MD 21740-6474
Phone (240) 513-4591

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

61 Campus Dr
Martinsburg, WV 25404-7542

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0081409MDMDPhysical Medicine & Rehabilitation Physician
28503WVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Memorial Hospital CurrentSince Mar 31, 2025 Accepting new patients
Jefferson Memorial Hospital Current Accepting new patients
Jefferson Memorial Hospital CurrentSince Mar 31, 2025 Accepting new patients
Wvu Med Corp Cheat Lake Physicians CurrentSince Oct 2, 2018 Accepting new patients
City Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Anesthesia Solutions PLLC PastSince May 1, 2019 Accepting new patients

Locations

61 Campus Dr
Ste 300
Martinsburg, WV 25404
Phone (304) 264-0704

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: sishigami126507@direct.wvuhsdirect.com

Organizations & group practices 8

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 5

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1699065771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506361",
            "telephone_number": "240-864-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N TENNESSEE AVE STE 104",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019401",
            "telephone_number": "304-596-5160",
            "fax_number": "304-596-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIGAMI",
        "first_name": "SHOJI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "28503",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0081409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sishigami126507@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "880 N Tennessee Ave Ste 104",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sishigami126507@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "880 N Tennessee Ave Ste 104",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sishigami126507@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "880 N Tennessee Ave",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.