Individual provider Active NPI

Karen J. Nishida, MD

  • Gynecologic Oncology Physician
  • Stamford, CT
National Provider Identifier
1962509653
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
052404 Issued in CT
Practice address
1290 Summer St Ste 5200
Stamford, CT 06905-5339
Phone
(203) 998-0848
Fax
(203) 323-0566
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 052404 CT Primary

Addresses

Primary practice location

1290 Summer St Ste 5200
Stamford, CT 06905-5339

Mailing address

1290 Summer St Ste 5200
Stamford, CT 06905-5339
Phone (203) 998-0848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150428000361 CT Practitioner - Gynecological Oncology 5395746697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Un of California, Irvine, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1290 Summer St
Suite 5200
Stamford, CT 06905-5339
Phone (203) 998-0848

Hospital & facility affiliations

  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052404CTMDGynecologic Oncology Physician
41523TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecologic Cancer Care, LLC Gynecologic Oncology CurrentSince Apr 1, 2015 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
University of Miami Past Accepting new patients

Locations

1290 Summer St
Ste 5200
Stamford, CT 06905
Phone (203) 969-7662

Interoperability endpoints

  • Direct secure messaging: knishida184081@direct.ynhh.org
  • Direct secure messaging: karen.nishida.1@10252.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10252/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1962509653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SUMMER ST STE 5200",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055339",
            "telephone_number": "203-998-0848",
            "fax_number": "203-323-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SUMMER ST STE 5200",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055339",
            "telephone_number": "203-998-0848",
            "fax_number": "203-323-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIDA",
        "first_name": "KAREN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CT",
            "license": "052404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.