Individual provider Active NPI

Takeshi Yoshida, M.D., PH.D.

  • Student in an Organized Health Care Education/Training Program
  • Baltimore, MD
National Provider Identifier
1255170049
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5200 Eastern Ave
Mason F. Lord Building, Ctr. Tower Suite 4500
Baltimore, MD 21224
Phone
(410) 550-6962
Fax
(410) 550-6255
NPI assigned
May 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

5200 Eastern Ave
Mason F. Lord Building, Ctr. Tower Suite 4500
Baltimore, MD 21224

Mailing address

Okawasuji 1 1 16
Chikamori Hospital
Kochi, KOCHI 7808522
JP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20241025000083 MD Order and Referring Only - RheumatologyPractitioner - Rheumatology 4486187713

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1255170049",
    "addresses": [
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "OKAWASUJI 1 1 16",
            "address_2": "CHIKAMORI HOSPITAL",
            "city": "KOCHI",
            "state": "KOCHI",
            "postal_code": "7808522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE",
            "address_2": "MASON F. LORD BUILDING, CTR. TOWER SUITE 4500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-550-6962",
            "fax_number": "410-550-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIDA",
        "first_name": "TAKESHI",
        "name_prefix": "Mr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.