DR. KENNETH T SHIMIZU M.D. NPI 1326032129

NPI Information

  • NPI: 1326032129
  • Provider Name: DR. KENNETH T SHIMIZU, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10670 JOHN J HOPKINS DR
    SAN DIEGO, CA
    ZIP 92121
  • Phone: (858) 554-4100

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NPI Details

DR. Kenneth T Shimizu, M.D. is a radiation oncology radiology in San Diego, CA with 38 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Kenneth T Shimizu, M.D. NPI is 1326032129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

10670 JOHN J HOPKINS DR
SAN DIEGO, CA
ZIP 92121-120
Phone: (858) 554-4100

The NPI 1326032129 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Complex radiation therapy planning (HCPCS:77263)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • 3d radiation therapy planning (HCPCS:77295)
  • Design and construction of intermediate radiation treatment device (HCPCS:77333)
  • Special radiation therapy planning for delivery of external radiation (HCPCS:77321)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • Special radiation treatment (HCPCS:77470)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • High precision radiation therapy planning (HCPCS:77301)

The enumeration date for this NPI number is 9/7/2005 and was last updated on 10/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyG67647CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WG67647OMEDICARE PINCALIFORNIA
2F35494MEDICARE UPINCALIFORNIA
300G67647OMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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