Takaaki Kido, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

04-32899 Issued in KS

Practice address

2711 S. Rouse Ste. F
Pittsburg, KS 66762

Phone

(620) 232-9000

Fax

(620) 232-9005

NPI assigned

Jul 20, 2007

Sex

Male

Sole proprietor

Yes

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 KS

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

General SurgeryAlso: Thoracic Surgery, Vascular Surgery

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girard Medical Center Hospital, Girard, KS, CCN 171376
• Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIBACD
• FHIR API: https://fhir4.healow.com/fhir/r4/CIBACD/Endpoint/CIBACD

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.

• Minimally Invasive and Bariatric Surgery, LLC

  • Surgery Physician
  • Pittsburg, KS
  • NPI 1932344538
  Medicare reassignment NPD
• Southeast Kansas Surgical Group, PA

  • Surgery Physician
  • Pittsburg, KS
  • NPI 1750429429
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital District No 1 Crawford County

  • Critical Access Hospital
  • Girard, KS
  • NPI 1578505095
  Care Compare affiliation
• Mercy Hospital Pittsburg Inc

  • General Acute Care Hospital
  • Pittsburg, KS
  • NPI 1639921430
  Care Compare affiliation

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1306046065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 S. ROUSE STE. F",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-232-9000",
            "fax_number": "620-232-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 S. ROUSE STE. F",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-232-9000",
            "fax_number": "620-232-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDO",
        "first_name": "TAKAAKI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-32899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200568970A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kansas Surgical Associates LLC
• Stephen Katzer, MSPT
• Keith a. Mallatt OD
• Caylene Kelso, RDH
• Clayton Dean Kent, P.T.
• Alyssa Kieffer, LAT, ATC
• Diane Marie King, OTA
• Trista Dawn King, APRN
• Jessica Dawn Kirk, FNP
• Amanda Kirkland, LMSW

• Surgery Physician in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.