Individual provider Active NPI

Keiko Aikawa, MD

  • Cardiovascular Disease Physician
  • Napa, CA
National Provider Identifier
1194808121
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00C54986 Issued in CA
Practice address
3443 Villa LN
Ste 2
Napa, CA 94558-6417
Phone
(707) 253-8282
Fax
(707) 253-7023
NPI assigned
Oct 23, 2006
Last updated
May 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00C54986 CA Primary

Addresses

Primary practice location

3443 Villa LN
Ste 2
Napa, CA 94558-6417

Mailing address

141 Lombardy LN
Orinda, CA 94563-1110
Phone (206) 363-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040623000897 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416932348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians

Practice addresses (Care Compare)

10416 5TH Ave NE
Seattle, WA 98125-7402
Phone (206) 517-6700

1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (206) 326-2400

1801 Lind Ave SW
Renton, WA 98057-3368
Phone (425) 227-3700

1909 214TH St SE
Suite 300
Bothell, WA 98021-4418
Phone (425) 412-7200

220 15TH Ave SE
Puyallup, WA 98372-3797
Phone (253) 435-3400

31833 B Gateway Ctr Blvd S
Federal Way, WA 98003-5616
Phone (253) 214-1920

751 NE Blakely Dr
Suite 4020
Issaquah, WA 98029-6201
Phone (206) 621-4123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00C54986CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacmed Clinics CurrentSince Dec 28, 2013 Accepting new patients
Pacmed Clinics CurrentSince Dec 28, 2013 Accepting new patients

Locations

1909 214th St SE
Ste 300
Bothell, WA 98021
Phone (425) 412-6335

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

Interoperability endpoints

  • Direct secure messaging: kaikawa1040981@wm.providencedirect.org

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.

Hospital & facility affiliations 5

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1194808121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LOMBARDY LN",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945631110",
            "telephone_number": "206-363-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 VILLA LN",
            "address_2": "STE 2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586417",
            "telephone_number": "707-253-8282",
            "fax_number": "707-253-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIKAWA",
        "first_name": "KEIKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "00C54986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.