Doctor profile · Federal record
Dr. HARUKI ISHII, MD
Sports Medicine (Physical Medicine & Rehabilitation) Physician (CMS: PHYSICAL MEDICINE AND REHABILITATION) · Student in an Organized Health Care Education/Training Program · Internal Medicine Physician · BROOKHAVEN, GA
- NPI 1063905834
- Accepts Medicare
- MIPS 86.9 / 100 · 2023
- 8 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1968 HAWKS LN NE
BROOKHAVEN, GA 303292283
(404) 778-7142 - Additional location
-
550 1st Ave
New York, NY 100166402
(212) 263-7300 - Additional location
-
1120 15th St
Augusta, GA 309120004
(706) 721-0211
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Profile last updated
- July 1, 2023
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 2081S0010X — NUCC code
- State licenses (3)
- Georgia #95121 · New York #010056 · Georgia #010056
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063905834. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
13
Distinct HCPCS
1
Medicare allowed
$1,789
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $138 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 81. This provider delivers 0.2× the peer median.Open Payments
Industry payments received
All-time total
$40
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| TRICE MEDICAL, INC. | 1 | $40.21 |