NPIMap

Individual provider Active NPI

Mitsuko Takahashi, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jefferson Hills, PA
National Provider Identifier
1235445081
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
OS016181 Issued in PA
Practice address
575 Coal Valley Rd
Suite 504
Jefferson Hills, PA 15025-3730
Phone
(412) 469-7900
Fax
(412) 469-7919
NPI assigned
Aug 30, 2010
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 255743 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X OS016181 PA Primary

Addresses

Primary practice location

575 Coal Valley Rd
Suite 504
Jefferson Hills, PA 15025-3730

Mailing address

575 Coal Valley Rd
Suite 504
Jefferson Hills, PA 15025-3730
Phone (412) 469-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtakahashi134692@direct.ahn.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000482 PA Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 2163679333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

575 Coal Valley Rd
Suite 504
Clairton, PA 15025-3729

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255743NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Cardiothoracic and Vascular Institute Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 1, 2012 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Jefferson Regional Medical Center Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 504
Jefferson Hls, PA 15025
Phone (412) 469-7900

Interoperability endpoints

  • Direct secure messaging: mtakahashi134692@direct.ahn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1235445081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 504",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7900",
            "fax_number": "412-469-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 504",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7900",
            "fax_number": "412-469-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAHASHI",
        "first_name": "MITSUKO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "255743",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "OS016181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtakahashi134692@direct.ahn.org",
            "affiliation": "N",
            "address_1": "575 Coal Valley Rd",
            "address_2": "Suite 504",
            "city": "Jefferson Hills",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150253730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.