Shawn Nishi, M.D.
NPI 1013105816 · Pulmonary Disease Physician · Galveston, TX
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Nishi, M.D. is a Pulmonary Disease Physician provider in Galveston, TX (NPI 1013105816).
Provider details
- NPI number
- 1013105816
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- M9546 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
402 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 80 | $115 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 79 | $95 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 32 | $131 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 27 | $77 |
| Needle Biopsy of Windpipe Cartilage, Airway, And/Or Lung Using an Endoscope31629 | 24 | $121 |
| Computer-Assisted Image-Guided Navigation of Lung Airways Using an Endoscope31627 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 32 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 23 |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$38,120 across 69 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2020-01-24
- Certified
- 2020-01-24
Frequently asked questions
- What is Shawn Nishi's NPI number?
- Shawn Nishi's National Provider Identifier (NPI) is 1013105816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Nishi's specialty?
- Shawn Nishi is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Shawn Nishi located?
- Shawn Nishi's practice location on file with NPPES is 301 University Blvd, Galveston, TX 77555-5302.
- What is Shawn Nishi's phone number?
- The practice phone number listed in the NPPES registry for Shawn Nishi is (409) 643-4587.
- Does Shawn Nishi accept Medicare?
- Shawn Nishi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shawn Nishi's NPI active?
- Yes — Shawn Nishi's NPI (1013105816) is active in the NPPES registry as of the last update on 2020-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.