Active NPI
Robert K Takamiya, M.D.
- Radiation Oncology Physician
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD00044158
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8419988 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD00044158 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Tumor Institute Radiation Oncology Group LLP | Radiation Oncology | Current | Accepting new patients |
| The Polyclinic PLLC | Current | 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.
-
- Radiation Oncology Physician
- Seattle, WA
- NPI 1184632572
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
dba Optum Tacoma
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
- Radiation Oncology Physician
- Renton, WA
- NPI 1568485761
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.