Kenichi Takeshita, M.D.

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

197666 Issued in NY

Practice address

45 E 89TH St
New York, NY 10128-1251

Phone

(917) 727-8353

NPI assigned

Dec 16, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1457680720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E 89TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E 89TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281251",
            "telephone_number": "917-727-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKESHITA",
        "first_name": "KENICHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NY",
            "license": "197666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zelalem Befekadu Takele
• Mai Takematsu, MD
• Toshiki Takenouchi, M.D.
• Takeshige Medical PC
• Kumiko Takeshima Asiedu
• Hidemi Takezawa, D.D.S.
• Mary E Takhtovich, PHARM.D
• Sara Lorenz Taki I, M.D.
• Anna K Takos, DMD
• Jeffery Takos, MD

• Hematology (Internal Medicine) Physician in New York, NY
• Providers in New York, NY by specialty
• Hematology (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.