Active NPI
Hiromi Takekuma, D.O.
- Pulmonary Disease Physician
- Concord, CA
National Provider Identifier
1275544389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 20A6021
- Practice address
- 2299 Bacon St
Suite 2
Concord, CA 94520-2050 - Phone
- (925) 676-2942
- Fax
- (925) 676-7108
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 20A6021 | CA | Primary |
Addresses
Primary practice location
2299 Bacon St
Suite 2
Concord, CA 94520-2050
Mailing address
2299 Bacon St
Suite 2
Concord, CA 94520-2050
Phone (925) 676-2942
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A60211 | Medicaid | CA | |
| 110118234 | Other | RR MEDICARE ID NUMBER | |
| GR0064710 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2299 Bacon St
Suite 2
Concord, CA 94520-2045
Phone (925) 676-2942
Hospital & facility affiliations
- John Muir Medical Center - Concord Campus
- John Muir Medical Center - Walnut Creek Campus
- Contra Costa Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 89.92
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6021 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| Diablo Pulmonary Medical Group, Inc | Pulmonary Disease | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
2299 Bacon St
Ste 2
Concord, CA 94520
Phone (925) 676-2942
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
Organizations & group practices 5
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.
-
- Pulmonary Disease Physician
- Concord, CA
- NPI 1265443303
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba John Muir Health, Walnut Creek Medical Center
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1275544389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2299 BACON ST",
"address_2": "SUITE 2",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202050",
"telephone_number": "925-676-2942",
"fax_number": "925-676-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2299 BACON ST",
"address_2": "SUITE 2",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202050",
"telephone_number": "925-676-2942",
"fax_number": "925-676-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKEKUMA",
"first_name": "HIROMI",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "20A6021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020A60211",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE ID NUMBER",
"identifier": "110118234",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0064710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.