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

Individual provider Internal Medicine Physician · NPI 1528142734

Kentaro Nishino, MD is a Geriatric Medicine in Bellevue, Washington. Graduated from Baylor College of Medicine in 2000, 26 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
26
Trained at
Baylor College of Medicine
Licensed in
WA
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

777 108th Ave NE Ste 2230
Bellevue, WA 98004-5146
Phone: (425) 300-9810
Fax: (425) 300-9813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD60656543 (WA)

Record details

NPI number1528142734
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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