Individual provider Active NPI

Ippei Takagi, MD

  • Neurological Surgery Physician
  • Chesterfield, MO
National Provider Identifier
1619144391
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01083977A Issued in IN
Practice address
226 S Woods Mill Rd Ste 58
Chesterfield, MO 63017-3662
Phone
(314) 877-2888
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01083977A IN Primary

Addresses

Primary practice location

226 S Woods Mill Rd Ste 58
Chesterfield, MO 63017-3662

Mailing address

226 S Woods Mill Rd Ste 58
Chesterfield, MO 63017-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20241210004524 MO Practitioner - Neurosurgery 3779717459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgery and Neurology LLCGroup PAC ID 2769412246, 13 clinicians

Practice addresses (Care Compare)

226 S Woods Mill Rd
Chesterfield, MO 63017-3662
Phone (314) 878-2888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion16
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery and Neurology LLC Neurological Surgery CurrentSince Jan 1, 2025 Accepting new patients
Porter Physician Services LLC Family Medicine PastSince Oct 1, 2020 Accepting new patients

Locations

226 S Woods Mill Rd
Ste 58W
Chesterfield, MO 63017
Phone (314) 453-0001

232 S Woods Mill Rd
Ste 400E
Chesterfield, MO 63017
Phone (314) 205-6744

226 S Woods Mill Rd
Ste 58
Chesterfield, MO 63017
Phone (314) 877-2888

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

Interoperability endpoints

  • Direct secure messaging: itakagi@direct.iuhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1619144391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD STE 58",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD STE 58",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-877-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAGI",
        "first_name": "IPPEI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01083977A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.