Dr Makoto Nishimura, MD - Medicare Gastroenterology in New York, NY

Dr Makoto Nishimura, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in New York, New York. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Memorial Gastroenterology Group and his current practice location is 1275 York Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 639-2000.

Dr Makoto Nishimura is licensed to practice in New York (license number 294075) 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 1083105290.

Contact Information

Dr Makoto Nishimura, MD
1275 York Ave,
New York, NY 10065
(212) 639-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Makoto Nishimura
GenderMale
SpecialityGastroenterology
Experience27 Years
Location1275 York Ave, New York, New York
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:
  • Dr Makoto Nishimura graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1083105290
  • Provider Enumeration Date: 05/23/2018
  • Last Update Date: 05/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860741360
  • Enrollment ID: I20180816001364

Medical Identifiers

Medical identifiers for Dr Makoto Nishimura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083105290NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 294075 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Gastroenterology Group094119921023

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. Dr Makoto Nishimura allows following entities to bill medicare on his behalf.
Entity NameMemorial Gastroenterology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629049192
PECOS PAC ID: 0941199210
Enrollment ID: O20040313000717

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. Dr Makoto 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
Dr Makoto Nishimura, MD
1275 York Ave,
New York, NY 10065-6007

Ph: (212) 639-2000
Dr Makoto Nishimura, MD
1275 York Ave,
New York, NY 10065

Ph: (212) 639-2000

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).

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