Individual provider Active NPI

Richelle Carrie Takemoto, MD

  • Orthopaedic Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1043478050
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD446402 Issued in PA
Practice address
1307 Federal St
Second Floor
Pittsburgh, PA 15212-4769
Phone
(877) 660-6777
Fax
(412) 359-3761
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD446402 PA Primary

Addresses

Primary practice location

1307 Federal St
Second Floor
Pittsburgh, PA 15212-4769

Mailing address

1307 Federal St
Second Floor
Pittsburgh, PA 15212-4769
Phone (877) 660-6777

Other identifiers 3

IdentifierTypeStateIssuer
1027567210001MedicaidPA
0070670MedicaidOH
3810023888MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222001732 NY Practitioner - Orthopedic Surgery 6305093899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial HospitalGroup PAC ID 6103805163, 43 clinicians
Hamilton Medical Services PLLCGroup PAC ID 6608091400, 10 clinicians

Practice addresses (Care Compare)

150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100

160 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-7040

164 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-4600

220 Tower St
Waterville, NY 13480-1128
Phone (315) 841-4156

Hospital & facility affiliations

  • HCR Home Care Home health agency, East Syracuse, NY, CCN 337119
  • Nascentia Health at Home Home health agency, Syracuse, NY, CCN 337052
  • At Home Care Inc Chha Home health agency, Oneonta, NY, CCN 337233
  • Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Chenango Memorial Hospital Hospital, Norwich, NY, CCN 330033
  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Community Memorial Hospital, Inc Nursing home, CCN 33Z316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement31
Knee replacement47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Services PLLC CurrentSince Aug 11, 2024 Accepting new patients
Community Memorial Hospital CurrentSince Mar 3, 2023 Accepting new patients
Community Memorial Hospital Orthopaedic Surgery CurrentSince Mar 3, 2023 Accepting new patients
Community Memorial Hospital Past Accepting new patients

Locations

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

160 Broad St
Hamilton, NY 13346
Phone (315) 824-7040

Interoperability endpoints

  • Direct secure messaging: rtakemoto@cmhhamilton.medentdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1043478050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SECOND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SECOND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEMOTO",
        "first_name": "RICHELLE",
        "middle_name": "CARRIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD446402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027567210001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070670",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023888",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.