Adam Nishimura, MD MS - Medicare Family Practice in Mill Creek, WA

Adam Nishimura, MD MS is a medicare enrolled "Family Medicine" physician in Mill Creek, Washington. He went to University Of Washington School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Polyclinic and his current practice location is 15418 Main St, Mill Creek, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 225-8000.

Adam Nishimura is licensed to practice in Washington (license number MD60880471) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699172163.

Contact Information

Adam Nishimura, MD MS
15418 Main St,
Mill Creek, WA 98012-9030
(425) 225-8000
Not Available

Map and Direction




Physician's Profile

Full NameAdam Nishimura
GenderMale
SpecialityFamily Practice
Experience5 Years
Location15418 Main St, Mill Creek, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adam Nishimura attended and graduated from University Of Washington School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1699172163
  • Provider Enumeration Date: 11/29/2014
  • Last Update Date: 09/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638462757
  • Enrollment ID: I20200103002257

Medical Identifiers

Medical identifiers for Adam Nishimura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699172163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD60880471 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yukon Kuskokwim Delta Reg HospitalBethel, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Polyclinic2163328196332

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adam Nishimura allows following entities to bill medicare on his behalf.
Entity NameThe Polyclinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174594634
PECOS PAC ID: 2163328196
Enrollment ID: O20031210000788
Entity NameOptum Care Washington Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922
Entity NameHealthpoint
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831199454
PECOS PAC ID: 9335042886
Enrollment ID: O20040206000245

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam Nishimura is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adam Nishimura, MD MS
Po Box 5127,
Everett, WA 98206-5127

Ph: (425) 304-8431
Adam Nishimura, MD MS
15418 Main St,
Mill Creek, WA 98012-9030

Ph: (425) 225-8000

Reviews and Comments


Family Medicine Doctors in Mill Creek, WA

Thuy Quynh Nguyen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1508 166th Pl Se, Mill Creek, WA 98012
Phone: 425-398-8554    
Mark T Anderson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1025 153rd St Se, Suite 200, Mill Creek, WA 98012
Phone: 425-745-4750    Fax: 425-745-6158
Dr. Mariel Liane Balboa, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15418 Main St Ste 200, Mill Creek, WA 98012
Phone: 425-225-8000    Fax: 142-522-5802
William W Bacon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1025 153rd St Se Ste 200, Mill Creek, WA 98012
Phone: 425-338-4000    Fax: 425-338-4090
Laura Renee Sobieck, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16000 Bothell Everett Hwy Ste 240, Mill Creek, WA 98012
Phone: 425-224-3209    
Stephen Stewart Stukovsky, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1025 153rd St Se Ste 200, Mill Creek, WA 98012
Phone: 425-338-4000    
Dr. Christian Herter, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 148th St Se, Mill Creek, WA 98012
Phone: 425-332-6948    Fax: 425-304-1102

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.