DR. JOHN S EBISU (M.D.) – Surgery Physician, NPI 1508835273

DR. JOHN S EBISU (M.D.) is a healthcare provider. based in Seattle, Washington. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. MD00027066 (WA). The NPI Number for DR. JOHN S EBISU (M.D.) is 1508835273

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN S EBISU (M.D.)
NPI
1508835273
Phone
(206) 264-8100
Address
805 MADISON ST
Enumeration Date
15 March 2006
Last Update Date
7 October 2011

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
7719029370
Group Practice PAC ID
7618880097
Professional Enrollment ID
I20100119000811
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN S EBISU (M.D.)

  • Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States

    SUITE 901

    SEATTLE, WA 981041172

    Phone: (206) 264-8100

    Fax: (206) 264-8689

    Type: Mailing

  • 12333, Northeast 130th Lane, Kirkland, King County, Washington, 98034-7114, United States

    SUITE 420

    KIRKLAND, WA 980347467

    Phone: (206) 838-2590

    Fax: (206) 264-8689

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 98104)

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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: 7618880097View full group profile
NameSpecialtyState
-WA
-WA
-WA
Interventional Cardiology, Cardiovascular Disease (Cardiology)WA
Physician AssistantWY
-WA
Nurse PractitionerWA
Physician AssistantWV
Family PracticeVT
-WA

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Frequently asked questions

What identifier follows DR. JOHN S EBISU (M.D.) across health systems?
The NPI 1508835273 uniquely identifies DR. JOHN S EBISU (M.D.) in U.S. healthcare data.
Is DR. JOHN S EBISU (M.D.)'s NPI status active today?
Active status means DR. JOHN S EBISU (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. JOHN S EBISU (M.D.)'s listing?
DR. JOHN S EBISU (M.D.)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN S EBISU (M.D.)?
DR. JOHN S EBISU (M.D.) is associated with Seattle, Washington in the same public data insurers reference.
Can I export DR. JOHN S EBISU (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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