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

Individual provider Pediatric Critical Care Medicine Physician · NPI 1609179639

Dr. Shinpei Shibata, MD is a Pediatric Medicine in Portland, Oregon. Qualified in 2003, 23 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
23
Licensed in
CA, OR
In the registry since
2010
Specialties on file
2
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

707 SW Gaines St Mail Code: Cdrcp
Portland, OR 97239-2901
Phone: (503) 494-1544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 154527 (OR)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 21500017 (CA)

Record details

NPI number1609179639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2010
Last updated in NPPESAugust 9, 2011

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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