Individual provider Active NPI

Makoto Tanigawa

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1861021024
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD500002832 Issued in DC
Practice address
900 23Rd St NW
Washington, DC 20037-2342
Phone
(202) 741-2911
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MC-314 GU
Emergency Medicine Physician 207P00000X MD500002832 DC Primary

Addresses

Primary practice location

900 23Rd St NW
Washington, DC 20037-2342

Mailing address

82 4TH Ave Apt 3a
Brooklyn, NY 11217-5258
Phone (609) 356-9739

Other practice location 1

4802 10th Ave
Brooklyn, NY 11219-2916
Phone (609) 356-9739

Other practice location 2

2120 L St NW Ste 450
Washington, DC 20037-1541
Phone (609) 356-9739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, IN, VA, GU5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20230717001142 NY Practitioner - Emergency Medicine 5294156303 Reassigns benefits to 1 organization
I20240820004810 DC Practitioner - Emergency Medicine 5294156303 Reassigns benefits to 1 organization
I20250415001507 IN Practitioner - Emergency Medicine 5294156303 Reassigns benefits to 1 organization
I20250528002454 VA Practitioner - Emergency Medicine 5294156303 Reassigns benefits to 1 organization
I20251202001837 GU Practitioner - Emergency Medicine 5294156303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Maryland School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Physicians PCGroup PAC ID 2769384213, 79 clinicians

Practice addresses (Care Compare)

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-1000

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD500002832DCMDEmergency Medicine Physician
MC-314GUMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center - MMC Emergency Physicians FPP Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Oct 28, 2025 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Emergency Medicine Services of VA, LLC Emergency Medicine CurrentSince Feb 23, 2024 Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Medical Faculty Associates, Inc. Emergency Medicine PastSince Aug 1, 2024 Accepting new patients

Locations

2120 L St NW
Ste 450
Washington, DC 20037
Phone (202) 741-2904

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

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 6

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1861021024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 4TH AVE APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112175258",
            "telephone_number": "609-356-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-741-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192916",
            "country_code": "US",
            "telephone_number": "609-356-9739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 L St NW Ste 450",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371541",
            "country_code": "US",
            "telephone_number": "609-356-9739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANIGAWA",
        "first_name": "MAKOTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GU",
            "license": "MC-314",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD500002832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.