Travis Takanori Yamanaka, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036128998 Issued in IL

Practice address

2525 S Michigan Ave
Chicago, IL 60616-2315

Phone

(312) 567-7616

Fax

(312) 567-6682

NPI assigned

Apr 8, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease

Education

Rush Medical College of Rush University, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Physicians of Illinois, P.C.Group PAC ID 0941614044, 13 clinicians

Cep America Illinois IntensivistsGroup PAC ID 0345535449, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyamanakamd237099@uchospital.direct-ci.com

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.

• Cep America Illinois Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Elgin, IL
  • NPI 1821641499
  Medicare reassignment Care Compare group NPD
• Hospitalist Physicians of Illinois, P.C.

  • Hospitalist Physician
  • Harvey, IL
  • NPI 1396347761

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Cook County

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1588612832
  Medicare reassignment NPD
• Cep America Illinois Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Kankakee, IL
  • NPI 1174320873
  NPD
• Cook County

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1821385170

  Internal Medicine

  NPD
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1831219450
  NPD

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1780827659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 N SAWYER AVE # 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254910",
            "telephone_number": "612-716-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162315",
            "telephone_number": "312-567-7616",
            "fax_number": "312-567-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANAKA",
        "first_name": "TRAVIS",
        "middle_name": "TAKANORI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036128998",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036128998",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036128998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Massako Yamada
• Seiko Yamada
• Ken Yamaguchi, MD
• Diana Carolina Yamamoto
• Ruby Guzman Yamamoto, PA-C
• Kataba Yamani, FNP
• Mubeen Yamani, APRN
• Naser Yamani, MD
• Kay Yamaoka, PA-C
• Eijiro Yamashita, MD, PHD

• Pulmonary Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.