Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114142494 Individual Practitioner Female Practitioner

Dr. Kimiko Lynne Ishibashi , MD

Pediatrics • Reno, NV

Professional Overview & Biography Verified Profile Summary

Dr. Kimiko Ishibashi, MD is a registered healthcare professional specializing in Pediatrics in Reno, NV. Practice services are available at 3725 LAKESIDE DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3725 Lakeside Drive

Reno, NV 89509

Telephone 7757374707
Fax 8775484385
Associated Practice Facility / Clinic
🏢 Tammy Roesler Md Pc Facility NPI 1437528825

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Reno, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
60 Specialists

Practicing in Reno, NV (391 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NV 12595

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1215121488

Doctor of Medicine (M.D.)

Andrea Cordell , APRN

Nurse Practitioner - Pediatrics

NPI 1679870745

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 19, 2019

Registered at 3725 LAKESIDE DRIVE, RENO, NV 89509 (Tel: 7757374707)

📍
Updated Business Mailing Address September 19, 2019

Registered at 3725 LAKESIDE DRIVE, RENO, NV 89509 (Tel: 7757374707)

NPI Profile Active August 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2008

Registered at 6880 S MCCARRAN BLVD, SUITE 12, RENO, NV 895096104 (Tel: 7758275595)

📍
Updated Business Mailing Address August 04, 2008

Registered at 6880 S MCCARRAN BLVD, SUITE 12, RENO, NV 895096104 (Tel: 7758275595)

👤
Provider Name / Credentials Updated August 04, 2008

Recorded as KIMIKO ISHIBASHI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2008

Pediatrics (License #12595 in NV)

🟢
Initial NPI Registration & Enumeration April 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114142494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2007
Last Update: September 19, 2019
Sole Proprietor: No

Mailing Address

3725 Lakeside Drive

Reno, NV 89509

Phone: 7757374707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.