DR. SONIA SHISHIDO (DO) – Anesthesiology Physician, NPI 1508092107
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
867 ANESTHESIOLOGY in OR
Provider Addresses for DR. SONIA SHISHIDO (DO)
MID COLUMBIA MEDICAL CENTER, OPERATING ROOMS
1700 EAST 19TH STREET
THE DALLES, OR 970589705
Phone: (541) 296-1111
Type: Location
10619 S JORDAN GTWY # 300
SOUTH JORDAN, UT 840953969
Phone: (888) 543-8228
Fax: (770) 701-6673
Type: Mailing
Banner University Medical Center Phoenix, 1111, East McDowell Road, Phoenix, Maricopa County, Arizona, 85006, United States
PHOENIX, AZ 850062612
Phone: (602) 239-2296
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130808000814 | I | Anesthesiology | OR | TBD |
| I20191106003540 | I | Anesthesiology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 18 | 18 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 97058)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Anesthesiology, Critical Care (Intensivists) | WA | |
| - | WA | |
| A N E S T H E S I O L O G Y | WA | |
| - | OR | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | WA | |
| - | WA |
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