Jayson H Takata, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD12376 Issued in HI

Practice address

1329 Lusitana St
Suite 802
Honolulu, HI 96813-2429

Phone

(808) 538-7700

Fax

(808) 538-7604

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Physical Medicine and Rehabilitation

Education

University of Hawaii John a. Burns School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pacific Physical Medicine Associates LLPGroup PAC ID 2668363623, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
• Rehabilitation Hospital of the Pacific Inpatient rehabilitation facility, Honolulu, HI, CCN 123025

Merit-based Incentive Payment System (MIPS)

Final score

53.59 of 100Reported as individual

Quality

0

Improvement activities

40

Cost

78.64

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jayson.takata@13066892410884.direct.elationemr.com

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.

• Pacific Physical Medicine Associates LLP

  • Physical Medicine & Rehabilitation Physician
  • Honolulu, HI
  • NPI 1689755704
  Medicare reassignment Care Compare group NPD
• Gregory B Morris DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Honolulu, HI
  • NPI 1427231240
  NPD (past)

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

• Rehabilitation Hospital of the Pacific

  • Rehabilitation Hospital
  • Honolulu, HI
  • NPI 1598785388

  Inpatient rehabilitation facility

  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922101757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 802",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-538-7700",
            "fax_number": "808-538-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 802",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-538-7700",
            "fax_number": "808-538-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKATA",
        "first_name": "JAYSON",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "MD12376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "538465",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly H. Takasawa, PSY.D.
• Brandon Osamu Takase, M.D.
• Marissa Keiko Takase, MD
• Andrew Takata, MS, ATC
• Caralyn Takata
• Kaitlyn Lee Takata, MD
• Robin Haruo Takata, M.D.
• Alyssa Takatsuki
• Kyoko Takayanagi
• Alexandra G. Takayesu, MD

• Physical Medicine & Rehabilitation Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Medicine & Rehabilitation Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.