Active NPI
Kenji Lewis Takano, M.D.
- Family Medicine Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101239358
- Practice address
- 673 MDG/JB Elmendorf-Richardson Usaf
Anchorage, AK 99506 - Phone
- (571) 326-7510
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101239358 | VA | Primary |
Addresses
Primary practice location
673 MDG/JB Elmendorf-Richardson Usaf
Anchorage, AK 99506
Mailing address
673 MDG/JB Elmendorf-Richardson Usaf
5955 Zeamer Ave
Anchorage, AK 99506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Washington, P.S. | Current | Accepting new patients | |
| American Current Care of Washington, P.S. | Current | Accepting new patients |
Locations
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060
3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299
9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Seattle, WA
- NPI 1073096871
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Urgent Care Clinic/Center
- Spokane, WA
- NPI 1881177681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1578652467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 MDG/JB ELMENDORF-RICHARDSON USAF",
"address_2": "5955 ZEAMER AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 MDG/JB ELMENDORF-RICHARDSON USAF",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99506",
"telephone_number": "571-326-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKANO",
"first_name": "KENJI",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2023-08-28",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101239358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.