Kyoko Misawa, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

03608278 Issued in IL

Practice address

33 W Higgins Rd
Ste 820
South Barrington, IL 60010-9115

Phone

(847) 426-4355

Fax

(847) 426-0047

NPI assigned

Nov 9, 2005

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Gastroenterology

Education

University of Chicago, Pritzker School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Javon Bea Hospital Hospital, Rockford, IL, CCN 140239

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmisawa114546@direct.mhemail.org
• Direct secure messaging: kyoko.misawa.1@380.direct.athenahealth.com

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.

• Rockford Health Physicians

  dba Mercyhealth Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  Medicare reassignment Care Compare group NPD
• Mercy Health System Corporation

  dba MHS Physician Services

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603

  IL

  Medicare reassignment NPD
• Mercy Health System Corporation

  dba Mercy Walworth Hospital and Medical Center

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Javon Bea Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1629118609
  Care Compare affiliation

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1912988759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W HIGGINS RD",
            "address_2": "STE 820",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109115",
            "telephone_number": "847-426-4355",
            "fax_number": "847-426-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W HIGGINS RD",
            "address_2": "STE 820",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109115",
            "telephone_number": "847-426-4355",
            "fax_number": "847-426-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISAWA",
        "first_name": "KYOKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "03608278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoko.misawa.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "33 W Higgins Rd",
            "address_2": "Ste 820",
            "city": "South Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600109115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan McLaughlin
• Samantha Kaylee Metoyer, LCPC
• Michael D. Fedyna DDS, LTD.
• Midwest Mind Care PLLC
• Marcin T Mika, APRN, FPA, PMHNP-BC
• Dennis William Morris, LSW
• Mothergood Health PLLC (Mothergood Health)
• Victoria Florence Murray
• Mwaz LLC (Direct Access Nephrology)
• Nephrology Consultants LLC

• Gastroenterology Physician in South Barrington, IL
• Providers in South Barrington, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.

Verify at the official NPI Registry.