Individual provider Active NPI

Robert K Takamiya, M.D.

  • Radiation Oncology Physician
  • Edmonds, WA
National Provider Identifier
1821011206
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD00044158 Issued in WA
Practice address
21605 76TH Avenue W
C/O Swedish Cancer Institute @ Stevens
Edmonds, WA 98026
Phone
(425) 640-4300
Fax
(425) 640-4440
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD00044158 WA Primary

Addresses

Primary practice location

21605 76TH Avenue W
C/O Swedish Cancer Institute @ Stevens
Edmonds, WA 98026

Mailing address

PO Box 749730
Los Angeles, CA 90074-9730
Phone (206) 971-0034

Other identifiers 1

IdentifierTypeStateIssuer
8419988MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rtakamiya1043384@wm.providencedirect.org
Direct Messaging Address rtakamiya1043384@wm.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102001046 WA Practitioner - Radiation Oncology 2567424443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tumor Institute Radiation Oncology Group LLPGroup PAC ID 3779470463, 16 clinicians

Practice addresses (Care Compare)

1221 Madison St
Suite 1
Seattle, WA 98104-3589
Phone (209) 386-2323

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00044158WAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Oct 9, 2011 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Tumor Institute Radiation Oncology Group LLP Radiation Oncology CurrentSince Sep 1, 2004 Accepting new patients
The Polyclinic PLLC CurrentSince Jun 28, 2014 Accepting new patients
Tirog at Valley PLLC Radiation Oncology Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

21605 76th Ave W
Ste 100
Edmonds, WA 98026
Phone (425) 640-4300

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1221 Madison St
Ste 150
Seattle, WA 98104
Phone (206) 215-6433

550 17th Ave
Ste A10
Seattle, WA 98122
Phone (206) 320-7130

1145 Broadway
Seattle, WA 98122

1221 Madison St
Ste 1
Seattle, WA 98104
Phone (206) 215-6251

Organizations & group practices 6

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 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1821011206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749730",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749730",
            "telephone_number": "206-971-0034",
            "fax_number": "206-215-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21605 76TH AVENUE W",
            "address_2": "C/O SWEDISH CANCER INSTITUTE @ STEVENS",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-640-4300",
            "fax_number": "425-640-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAMIYA",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00044158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8419988",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtakamiya1043384@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "21605 76th Ave W Ste 100",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980267520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtakamiya1043384@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "747 Broadway",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981224379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.