Active NPI
James Patrick Takara, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 154824
- Practice address
- 540 The Rialto
Venice, FL 34285-2900 - Phone
- (941) 485-7711
- NPI assigned
- Dec 22, 2005
- Last updated
- May 17, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419863202 | Medicaid | TX | |
| 1O3408 | Other | TX | MEDICARE |
| 419863201 | Medicaid | TX | |
| CVD8TX | Other | TX | MEDICARE |
| P02604468 | Other | TX | MCRR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac 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
- Avera Heart Hospital of South Dakota
- Avera McKennan Hospital & University Health Center
- Avera St Lukes
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| 154824 | FL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 7574 | SD | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| S8498 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Medical Center Physicians Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Heart Hospital of South Dakota LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | 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
- james.takara@avera.sdhealthlink.net
- 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.
-
dba North Central Heart a Division of Avera Heart Hospital
- Cardiovascular Disease Physician
- Sioux Falls, SD
- NPI 1407109705
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba JMC Community Care
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
dba Dignity Health St. Rose Specialty Clinics
- Neurological Surgery Physician
- Henderson, NV
- NPI 1720358039
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Memphis, TN
- NPI 1356453773
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Avera Medical Group Urogynecology Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1003188269
Hospital
-
dba Avera Medical Group Rheumatology Sioux Falls
- Rheumatology Physician
- Sioux Falls, SD
- NPI 1013177393
Hospital
-
dba Avera Medical Group University Psychiatry Associates Sioux Falls
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
Hospital
-
dba Avera Medical Group Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Sioux Falls, SD
- NPI 1093262131
Hospital
-
dba Avera Medical Group Brain and Spine Institute
- Neurological Surgery Physician
- Sioux Falls, SD
- NPI 1114113693
Hospital
-
dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls
- Physical Medicine & Rehabilitation Physician
- Sioux Falls, SD
- NPI 1134195332
Hospital
-
dba Avera McKennan Hospital and University Health Center - Diabetic Ed
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
dba Avera Gastroenterology Sioux Falls
- Gastroenterology Physician
- Sioux Falls, SD
- NPI 1194799882
Hospital
-
dba Avera Medical Group Womens Health Specialists Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1336111962
Hospital
-
dba Avera Medical Group
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1376575514
Hospital
-
dba Avera Endocrinology and Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.