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

Kazuhiro Hisamoto, MD

Individual provider Surgery Physician · NPI 1639414550

Kazuhiro Hisamoto, MD is a Cardiac Surgery in Rochester, New York. Qualified in 2005, 21 years ago. Practices with University Cardiothoracic Surgery Group, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2012
Specialties on file
3
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

601 Elmwood Ave
Rochester, NY 14642-6402
Phone: (585) 275-2525
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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 284767 (NY)
Surgery Physician Taxonomy 208600000X · Licence 284767 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 284767 (NY)

Record details

NPI number1639414550
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 4, 2012
Last updated in NPPESJuly 7, 2023
Certification dateAugust 5, 2021
Mailing address601 Elmwood Ave Box Surg, Rochester, NY 14642-0001

Medicare enrollment

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

Medicare specialtyCARDIAC SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice University Cardiothoracic Surgery Group — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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