MASARU NISHIAOKI (MD) – Addiction Medicine (Family Medicine) Physician, NPI 1871026831

MASARU NISHIAOKI (MD) is a healthcare provider. based in Virginia beach, Virginia. specializing in ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. 0101268181 (VA). The NPI Number for MASARU NISHIAOKI (MD) is 1871026831

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MASARU NISHIAOKI (MD)
NPI
1871026831
Phone
(757) 460-4655
Address
4509 WHITECHAPEL DRIVE
Enumeration Date
6 April 2017
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574973670230
Graduation Year
2017 (9 years ago)
PAC ID
5294143053
Group Practice PAC ID
9335128305
Professional Enrollment ID
I20210623002155
Address ID
VA234624345VI260XXRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

74 ADDICTION MEDICINE in VA

Provider Addresses for MASARU NISHIAOKI (MD)

  • 4509 WHITECHAPEL DRIVE

    VIRGINIA BEACH, VA 23455

    Phone: (757) 460-4655

    Fax: (757) 460-7744

    Type: Location

  • 501 N 2nd St # 100

    Richmond, VA 232191359

    Phone: (804) 628-6777

    Type: Location

  • 825 Fairfax Ave

    Eastern Virginia Medical School Ghent Family Medicine

    Norfolk, VA 23507

    Phone: (757) 446-5738

    Type: Location

  • 100, North 2nd Street, Monroe Ward, Richmond, Richmond City, Virginia, 23219, United States

    RICHMOND, VA 232191359

    Phone: (804) 628-6777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $2,860.

Total Amount is formed as General ($2,860) + Research ($0) + Ownership ($0) = $2,860.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($654).

Total Amount

$2,860

General + Research + Ownership

Payments

77

Total payment records

General Amount

$2,860

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210623002155IAddiction MedicineVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7113$0
99213Established patient office or other outpatient visit, 20-29 minutes6816$0
99214Established patient office or other outpatient visit, 30-39 minutes3113$0
90792Psychiatric diagnostic evaluation with medical services1612$0
View full utilization report →

Insurance plans in this area (ZIP 23455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335128305View full group profile
NameSpecialtyState
N E U R O P S Y C H I A T R YVA
Nurse PractitionerVA
-VA
Physician AssistantVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Physician AssistantVA
P S Y C H I A T R YVA
Physician AssistantVA

Reviews

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Frequently asked questions

What unique ID ties claims to MASARU NISHIAOKI (MD)?
NPI 1871026831 is assigned to MASARU NISHIAOKI (MD) under the national enumeration system.
Is MASARU NISHIAOKI (MD) currently active in the NPI registry?
CMS-published data lists MASARU NISHIAOKI (MD) as an active registrant.
What does MASARU NISHIAOKI (MD) treat or focus on?
Patients typically see MASARU NISHIAOKI (MD) under the specialty Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is MASARU NISHIAOKI (MD)'s primary listing?
We display Virginia Beach, Virginia because that is what the record indicates for MASARU NISHIAOKI (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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