Matsuko Takeshige, D.O..

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

215435 Issued in NY

Practice address

4242 Colden St Apt L17
Flushing, NY 11355-4855

Phone

(718) 661-4800

Fax

(718) 888-2701

NPI assigned

Dec 11, 2006

Sex

Female

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 NY

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

Internal Medicine

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: mtakeshige839260@nychhc.direct-ci.com

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.

• Loyal Medical PC

  • Primary Care Clinic/Center
  • Flushing, NY
  • NPI 1366833352
  Medicare reassignment Authorized official
• First Riverside Medical Care P.C.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1346562949
  NPD (past)
• Queens Long Island Medical Group, P.C.

  dba AdvantageCare Physicians

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891732038
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1285794925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 COLDEN ST APT L17",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554855",
            "telephone_number": "718-661-4800",
            "fax_number": "718-888-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 COLDEN ST APT L17",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554855",
            "telephone_number": "718-661-4800",
            "fax_number": "718-888-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKESHIGE",
        "first_name": "MATSUKO",
        "name_prefix": "Dr.",
        "credential": "D.O..",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02191459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesam Hassan Taha
• Abeer Tahir
• Farjana Tahmin
• Andrew Chun Keat Tai, ATC
• Szuchi Tai, LMHC
• Talat Addasi
• Khulood Talpur, MD
• Dristi Talukder, DO
• Connie Chung Kong Tam, M.D.
• Derek Tam

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.