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

Haruki Ishii, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063905834

Haruki Ishii, MD is a Physical Medicine and Rehabilitation in Brookhaven, Georgia. Qualified in 2018, 8 years ago. Practices with New York University, a 5,884-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and New York.

Years since qualifying
8
Licensed in
GA, NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1968 Hawks Ln NE
Brookhaven, GA 30329-2283
Phone: (404) 778-7142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1120 15th St, Augusta, GA 30912-0004 — (706) 721-0211
  • 550 1st Ave, New York, NY 10016-6402 — (212) 263-7300

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 95121 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 010056 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 010056 (GA)

Record details

NPI number1063905834
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2018
Last updated in NPPESJuly 1, 2023
Certification dateJuly 1, 2023
Mailing address1968 Hawks Ln Ne, Brookhaven, GA 30329-2283

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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