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

Michael B Ishitani, MD

Individual provider Surgery Physician · NPI 1366420564

Michael B Ishitani, MD is a General Surgery in Rochester, Minnesota. Graduated from Vanderbilt University School of Medicine in 1983, 43 years ago. Licensed in Minnesota and Wisconsin.

Years since qualifying
43
Trained at
Vanderbilt University School of Medicine
Licensed in
MN, WI
In the registry since
2006
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

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 41932 (MN)
Surgery Physician Taxonomy 208600000X · Licence 56304-020 (WI)
Surgery Physician Taxonomy 208600000X · Licence 41932 (MN)

Record details

NPI number1366420564
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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