NPIMap

Individual provider Active NPI

Mark Nishiya, MD

  • Urology Physician
  • Grand Junction, CO
National Provider Identifier
1760411995
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
330113 Issued in CO
Practice address
2373 G Rd
Suite 200
Grand Junction, CO 81505-9641
Phone
(970) 243-3061
Fax
(970) 245-8369
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 330113 CO Primary

Addresses

Primary practice location

2373 G Rd
Suite 200
Grand Junction, CO 81505-9641

Mailing address

2373 G Rd
Suite 200
Grand Junction, CO 81505-9641
Phone (970) 243-3061

Other identifiers 1

IdentifierTypeStateIssuer
01330133MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000553 CO Practitioner - Urology 5799715181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Davis School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Rio Blanco County Health Service District 41 clinicians
Colorado Surgical Affiliates LLC 52 clinicians

Practice addresses (Care Compare)

100 Pioneers Medical Ctr Dr
Meeker, CO 81641-3181
Phone (970) 878-5047

2373 G Rd
Suite 200
Grand Junction, CO 81505-1006
Phone (970) 243-3061

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054
  • Eastern Rio Blanco County Health Service District Hospital, Meeker, CO, CCN 061325
  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330113COMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
Colorado Surgical Affiliates, LLC Urology CurrentSince Jan 1, 2017 Accepting new patients
Delta County Memorial Hospital Current Accepting new patients
Delta County Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Mar 29, 2023 Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Mar 29, 2023 Accepting new patients
Eastern Rio Blanco County Health Service District Current Accepting new patients
Delta County Memorial Hospital Urology Past Accepting new patients
Canyon View ASC, LLC PastSince Oct 15, 2013 Accepting new patients

Locations

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

1501 E 3rd St
Bldg C
Delta, CO 81416

2373 G Rd
Ste 200
Grand Junction, CO 81505
Phone (970) 241-4444

2440 N 11th St
Grand Junction, CO 81501
Phone (970) 243-0900

100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014

Interoperability endpoints

  • Direct secure messaging: marknishiya@uawc.allscriptsdirect.net
  • Direct secure messaging: mark.nishiya.1@31155.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1760411995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-243-3061",
            "fax_number": "970-245-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-243-3061",
            "fax_number": "970-245-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIYA",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "330113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01330133",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.