DR. CHRISTOPHER KISHIYAMA (MD) – Pediatric Endocrinology Physician, NPI 1477609147

DR. CHRISTOPHER KISHIYAMA (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in PEDIATRIC MEDICINE, ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. TL-1284 (CO). The NPI Number for DR. CHRISTOPHER KISHIYAMA (MD) is 1477609147

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER KISHIYAMA (MD)
NPI
1477609147
Phone
(509) 474-2072
Address
PO BOX 421
Enumeration Date
26 January 2007
Last Update Date
16 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
5096843701
Graduation Year
2000 (26 years ago)
PAC ID
6800988361
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20070828001102
Address ID
WA991143354CO1200XAVEX400

Contacts

Secure Messaging
ckishiyama214316@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

648 PEDIATRIC MEDICINE in WA

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Provider Addresses for DR. CHRISTOPHER KISHIYAMA (MD)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (509) 474-2072

    Type: Mailing

  • West 8th Avenue, Cliff–Cannon, Spokane, Spokane County, Washington, 99201, United States

    STE 100

    SPOKANE, WA 992042307

    Phone: (509) 474-2880

    Fax: (509) 474-2241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $617.

Total Amount is formed as General ($617) + Research ($0) + Ownership ($0) = $617.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: BETA BIONICS, INC. ($121).

Total Amount

$617

General + Research + Ownership

Payments

19

Total payment records

General Amount

$617

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-08-28

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
I20070828001102IPediatric MedicineWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99019)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. CHRISTOPHER KISHIYAMA (MD)?
Save NPI 1477609147 if you need a stable reference for DR. CHRISTOPHER KISHIYAMA (MD).
Is DR. CHRISTOPHER KISHIYAMA (MD) active in the national directory?
DR. CHRISTOPHER KISHIYAMA (MD)'s public NPI profile is in an active state.
Does DR. CHRISTOPHER KISHIYAMA (MD) list a primary specialty?
If you are matching referrals, note Pediatric Endocrinology Physician for DR. CHRISTOPHER KISHIYAMA (MD). Clinical services aligned with this taxonomy classification.
Where is DR. CHRISTOPHER KISHIYAMA (MD)'s primary listing?
We display Liberty Lake, Washington because that is what the record indicates for DR. CHRISTOPHER KISHIYAMA (MD).
Is DR. CHRISTOPHER KISHIYAMA (MD) a real provider?
This page reflects official NPPES data for NPI 1477609147. Always confirm identity and privileges with the practice and licensing boards.

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