Kyle Shibuya, MD - Medicare Emergency Medicine in Bronx, NY

Kyle Shibuya, MD is a medicare enrolled "Emergency Medicine" physician in Bronx, New York. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Montefiore Medical Center and his current practice location is 1825 Eastchester Rd., Emergency Department Administration Office, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 904-2904.

Kyle Shibuya is licensed to practice in New York (license number 293104) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1780002808.

Contact Information

Kyle Shibuya, MD
1825 Eastchester Rd., Emergency Department Administration Office,
Bronx, NY 10461
(718) 904-2904
Not Available

Map and Direction




Physician's Profile

Full NameKyle Shibuya
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location1825 Eastchester Rd., Bronx, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kyle Shibuya graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1780002808
  • Provider Enumeration Date: 04/05/2014
  • Last Update Date: 07/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5890044390
  • Enrollment ID: I20180816001238

Medical Identifiers

Medical identifiers for Kyle Shibuya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780002808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 293104 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Montefiore Medical CenterBronx, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Montefiore Medical Center37794960212003

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. Kyle Shibuya allows following entities to bill medicare on his behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235

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. Kyle Shibuya 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
Kyle Shibuya, MD
1265 Nehoa St,
Honolulu, HI 96822-3071

Ph: (808) 398-5952
Kyle Shibuya, MD
1825 Eastchester Rd., Emergency Department Administration Office,
Bronx, NY 10461

Ph: (718) 904-2904

Reviews and Comments


Emergency Medicine Doctors in Bronx, NY

Dr. Thomas Henry Parry, M.D.
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May Yee Helman, M.D.
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Dr. Angelica Rosa Angiulli, MD
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Dr. Patrick Spencer Eiben, M.D.
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Nai Li, D.O.
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Vinay Saggar, MD
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Joshua Ronald Gravel, MD, MSC
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Medicare: Not Enrolled in Medicare
Practice Location: 234 E 149th St, Bronx, NY 10451
Phone: 239-233-1156    

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.