Kouji Kikuyama, PHYSICIAN ASSISTANT
NPI 1396474508ActiveIndividual· Physician Assistant· Newark, NJ
Physician Assistant (PHYSICIAN ASSISTANT) in Newark, New Jersey, licensed in NJ, with an NPI issued in June 2022. 20 Medicare patients in 2024, $2,168 paid; nearly all of their 70 Part D prescriptions were generic (96%).
Overview
| NPI | 1396474508 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Jun 6, 2022 |
| Last updated in NPPES | Apr 30, 2024 |
| Certified by provider | Apr 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00717400 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 22 across 8 procedure codes |
| Paid by Medicare | $2,168 |
Part D prescriptions in 2024
| Prescriptions (claims) | 70 · 70 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $1,920 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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