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

Eiri Kisamori, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1518691658

Eiri Kisamori, MD is a Thoracic Surgery in Phoenix, Arizona. Qualified in 2015, 11 years ago. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2022
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

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-2693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 78241 (AZ)

Record details

NPI number1518691658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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