NPI Details
DR. Makoto Iwahara, M.D. is a gastroenterology internal medicine in New York, NY with 46 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Makoto Iwahara, M.D. NPI is 1366627143. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1980
The provider's business location address is:
120 E 79TH ST
SUITE 1C
NEW YORK, NY
ZIP 10075-319
Phone: (212) 879-2328
Fax: (212) 879-1933
The NPI 1366627143 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 CLIA number assigned to this NPI record is 33D0130125 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
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.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
- Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
- Colonoscopy (HCPCS:NAN13)
- Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
The enumeration date for this NPI number is 12/30/2007 and was last updated on 4/18/2008.
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 |
| 1 | 207R00000X | Internal Medicine | | 147656 | NEW YORK | No |
| 2 | 207RG0100X | Internal Medicine | Gastroenterology | 147656 | NEW YORK | Yes |
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 |
| 1 | B14383 | MEDICARE UPIN | NEW YORK | |
| 2 | 42D421 | MEDICARE PIN | NEW YORK | |
