Yusuke Wakeshima, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

38757 Issued in CO

Practice address

2150 W 29TH Ave
Denver, CO 80211-3844

Phone

(303) 331-6744

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physical Medicine and Rehabilitation

Education

Perelman School of Med at the University of Pennsylvania, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mile High Sports and Rehabilitation Medicine, PCGroup PAC ID 3779508551, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mile High Sports and Rehabilitation Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
  • NPI 1427243146
  Medicare reassignment Care Compare group NPD
• Catherine D Carretero MD PC

  • Dermatology Physician
  • Denver, CO
  • NPI 1245409630
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1215992474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113844",
            "telephone_number": "303-331-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113844",
            "telephone_number": "303-331-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKESHIMA",
        "first_name": "YUSUKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "38757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68925085",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orion Jefferson Wake
• Benjamin James Wakefield, PA-C
• Harold1 R Wakefield, M.D.
• Leo Ken Wakefield
• Meredith Elizabeth Wakelyn, LCSW
• Anisa Marie Wakil, MD
• Wal-Mart Stores Inc
• Wal-Mart Stores, Inc.
• Wal-Mart Stores, Inc.
• Diana Walbrun, MSW,CSW,CCM

• Physical Medicine & Rehabilitation Physician in Denver, CO
• Providers in Denver, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.