Individual provider Active NPI

James Patrick Takara, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Venice, FL
National Provider Identifier
1902883747
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
154824 Issued in FL
Practice address
540 The Rialto
Venice, FL 34285-2900
Phone
(941) 485-7711
NPI assigned
Dec 22, 2005
Last updated
May 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 7574 SD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 23463 NV
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X S8498 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 154824 FL Primary

Addresses

Primary practice location

540 The Rialto
Venice, FL 34285-2900

Mailing address

600 Nokomis Ave S Ste 207
Venice, FL 34285-3209

Other practice location 1

703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Phone (903) 606-2992

Other practice location 2

4150 Fifth Street
Rapid City, SD 57701
Phone (605) 399-4300

Other practice location 3

7190 S Cimarron Rd
Las Vegas, NV 89113-2171
Phone (702) 675-3240

Other identifiers 5

IdentifierTypeStateIssuer
419863202MedicaidTX
1O3408OtherTXMEDICARE
419863201MedicaidTX
CVD8TXOtherTXMEDICARE
P02604468OtherTXMCRR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090707000072 SD Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Vascular SurgeryPractitioner - Other (Physician) 5597770263 Reassigns benefits to 1 organization
I20201008002117 TX Practitioner - Thoracic Surgery 5597770263 Reassigns benefits to 1 organization
I20220418000264 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 5597770263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: General Surgery, Peripheral Vascular Disease, Thoracic Surgery, Vascular Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154824FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
7574SDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
S8498TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 14, 2023 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 14, 2023 Accepting new patients
Heart Hospital of South Dakota LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 10, 2025 Accepting new patients
Mother Frances Hospital Jacksonville Current Accepting new patients
Thoracic and Cardiovascular Surgery Association Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1002 S Old Dixie Hwy
Ste 304
Jupiter, FL 33458
Phone (561) 630-8570

4520 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-5000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

Interoperability endpoints

  • Direct secure messaging: james.takara@avera.sdhealthlink.net
  • Direct secure messaging: jtakara233600@christushealth.direct-ci.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1902883747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NOKOMIS AVE S STE 207",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 THE RIALTO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852900",
            "telephone_number": "941-485-7711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 S Fleishel Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012015",
            "country_code": "US",
            "telephone_number": "903-606-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Fifth Street",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "57701",
            "country_code": "US",
            "telephone_number": "605-399-4300",
            "fax_number": "605-399-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7190 S Cimarron Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132171",
            "country_code": "US",
            "telephone_number": "702-675-3240",
            "fax_number": "702-982-6347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKARA",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SD",
            "license": "7574",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NV",
            "license": "23463",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "S8498",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "154824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419863202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1O3408",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419863201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CVD8TX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02604468",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.