Individual provider Active NPI

Yoshinobu Namihira, MD

  • Gastroenterology Physician
  • Vicksburg, MS
National Provider Identifier
1871773671
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10229 Issued in MS
Practice address
3000 Halls Ferry Rd
Vicksburg, MS 39180-4802
Phone
(601) 638-9800
Fax
(601) 638-9808
NPI assigned
Nov 8, 2007
Last updated
Oct 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 10229 MS Primary

Addresses

Primary practice location

3000 Halls Ferry Rd
Vicksburg, MS 39180-4802

Mailing address

3000 Halls Ferry Rd
Vicksburg, MS 39180-4802
Phone (601) 638-9800

Other identifiers 3

IdentifierTypeStateIssuer
110030246OtherMSRR MEDICARE
00017743MedicaidMS
1366501MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20071220000134 MS Practitioner - Internal MedicinePractitioner - Gastroenterology 4688764111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Loma Linda University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3000 Halls Ferry Rd
Vicksburg, MS 39180-4802
Phone (601) 638-9800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10229MSMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Better Living Endoscopy Center CurrentSince Jan 7, 2011 Accepting new patients
Yoshinobu Namihira MD PA CurrentSince May 23, 1988 Accepting new patients

Locations

3000 Halls Ferry Rd
Vicksburg, MS 39180
Phone (601) 638-9800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1871773671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HALLS FERRY RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391804802",
            "telephone_number": "601-638-9800",
            "fax_number": "601-638-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HALLS FERRY RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391804802",
            "telephone_number": "601-638-9800",
            "fax_number": "601-638-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMIHIRA",
        "first_name": "YOSHINOBU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "10229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110030246",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017743",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366501",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.