David Shibata, MD - Medicare General Surgery in Memphis, TN

David Shibata, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Memphis, Tennessee. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Ut Regional One Physicians Inc and his current practice location is 1211 Union Ave, Suite 300, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 609-3520.

David Shibata is licensed to practice in Tennessee (license number 53326) 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 1700892387.

Contact Information

David Shibata, MD
1211 Union Ave, Suite 300,
Memphis, TN 38104-6638
(901) 609-3520
(901) 266-6415

Map and Direction




Physician's Profile

Full NameDavid Shibata
GenderMale
SpecialityGeneral Surgery
Experience33 Years
Location1211 Union Ave, Memphis, Tennessee
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:
  • David Shibata graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1700892387
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 09/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0749249779
  • Enrollment ID: I20150929001238

Medical Identifiers

Medical identifiers for David Shibata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700892387NPI-NPPES
Q014867MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086X0206XSurgery - Surgical Oncology ME91419 (Florida)Secondary
2086X0206XSurgery - Surgical Oncology 53326 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional One HealthMemphis, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Regional One Physicians Inc5698993418277

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. David Shibata allows following entities to bill medicare on his behalf.
Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662

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. David Shibata 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
David Shibata, MD
Po Box 1000, Dept # 457,
Memphis, TN 38148-0457

Ph: (901) 609-3520
David Shibata, MD
1211 Union Ave, Suite 300,
Memphis, TN 38104-6638

Ph: (901) 609-3520

Reviews and Comments


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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.