Active NPI
Takeki Suzuki, M.D.
- Clinical Cardiac Electrophysiology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 2024-03295
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-1184 - Phone
- (336) 716-6674
- Fax
- (336) 716-9188
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042-0011108 | VT | |
| Cardiovascular Disease Physician | 207RC0000X | 23539 | MS | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 23539 | MS | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 01083061A | IN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 2024-03295 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-1184
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6674
Other practice location 1
1801 N Senate Blvd Ste 4000
Indianapolis, IN 46202-1184
Phone (317) 962-0500
Other practice location 2
720 Eskenazi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-7666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09277069 | Medicaid | MS |
Electronic endpoints 7
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tsuzuki72914@direct.eskenazihealth.edu | Direct | |
| Direct Messaging Address | tsuzuki72914@direct.eskenazihealth.edu | Direct | |
| Direct Messaging Address | tsuzuki72914@direct.eskenazihealth.edu | Direct | |
| Direct Messaging Address | tsuzuki72914@direct.eskenazihealth.edu | Direct | |
| Direct Messaging Address | tsuzuki72914@direct.eskenazihealth.edu | Direct | |
| Direct Messaging Address | TSUZUKI@direct.iuhealth.org | ||
| Direct Messaging Address | tsuzuki72914@direct.eskenazihealth.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
- North Carolina Baptist Hospital
- High Point Regional Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0011108 | VT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
601 N Elm St
High Point, NC 27262
Phone (336) 878-6419
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- tsuzuki2964111@carolinashealthcaresystem.direct-ci.com
- tsuzuki72914@direct.eskenazihealth.edu
- tsuzuki@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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- High Point, NC
- NPI 1396746228
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1780747709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-6674",
"fax_number": "336-716-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271571184",
"telephone_number": "336-716-6674",
"fax_number": "336-716-9188"
}
],
"practiceLocations": [
{
"address_1": "1801 N Senate Blvd Ste 4000",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021184",
"country_code": "US",
"telephone_number": "317-962-0500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 Eskenazi Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025166",
"country_code": "US",
"telephone_number": "317-880-7666",
"fax_number": "317-880-0448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUZUKI",
"first_name": "TAKEKI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "042-0011108",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "23539",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MS",
"license": "23539",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IN",
"license": "01083061A",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NC",
"license": "2024-03295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09277069",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsuzuki72914@direct.eskenazihealth.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1801 N Senate Blvd Ste 4000",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021184",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsuzuki72914@direct.eskenazihealth.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1801 N Senate Blvd Ste 4000",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021184",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsuzuki72914@direct.eskenazihealth.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1801 N Senate Blvd Ste 4000",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021184",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsuzuki72914@direct.eskenazihealth.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1801 N Senate Blvd Ste 4000",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021184",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsuzuki72914@direct.eskenazihealth.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1801 N Senate Blvd Ste 4000",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021184",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TSUZUKI@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1801 N Senate Blvd Ste 4000",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021184",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsuzuki72914@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "720 Eskenazi Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025166",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.