Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Glen Y Kishi, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1174561765

Dr. Glen Y Kishi, MD is an Obstetrics/Gynecology in Phoenix, Arizona. Graduated from Un of California, Irvine, College of Medicine in 1985, 41 years ago. Practices with Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm, a 223-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
41
Trained at
Un of California, Irvine, College of Medicine
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 18565 (AZ)

Record details

NPI number1174561765
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESOctober 13, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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