Active NPI
Shoji Ishigami, M.D., PH.D.
- Physical Medicine & Rehabilitation Physician
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 28503
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
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
- Jefferson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0081409 | MD | MD | Physical Medicine & Rehabilitation Physician |
| 28503 | WV | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| Wvu Med Corp Cheat Lake Physicians | Current | Accepting new patients | |
| City Hospital, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Anesthesia Solutions PLLC | Past | 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
- 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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
MD
-
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
- Internal Medicine Physician
- Ranson, WV
- NPI 1316364953
-
- Clinical Medical Laboratory
- Morgantown, WV
- NPI 1568661148
-
- Internal Medicine Physician
- Ranson, WV
- NPI 1336657493
-
- Certified Registered Nurse Anesthetist
- Richmond, VA
- NPI 1215402169
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.