Active NPI
Steven Takas, MD
- Pediatrics Physician
- Key West, FL
National Provider Identifier
1013990456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME90852
- Practice address
- 1111 12TH St
Ste 311
Key West, FL 33040-4088 - Phone
- (305) 295-6700
- Fax
- (305) 295-6600
- NPI assigned
- Nov 21, 2005
- Last updated
- Feb 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME90852 | FL | Primary |
Addresses
Primary practice location
1111 12TH St
Ste 311
Key West, FL 33040-4088
Mailing address
1111 12TH St
Ste 311
Key West, FL 33040-4088
Phone (305) 295-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273712400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics Alliance LLC | Pediatrics | Past | Accepting new patients |
| Pediatrics Alliance, LLC. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Key West, FL
- NPI 1447591748
-
- Pediatrics Physician
- Key West, FL
- NPI 1235472622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1013990456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 12TH ST",
"address_2": "STE 311",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404088",
"telephone_number": "305-295-6700",
"fax_number": "305-295-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 12TH ST",
"address_2": "STE 311",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404088",
"telephone_number": "305-295-6700",
"fax_number": "305-295-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKAS",
"first_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME90852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273712400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.