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KOHTARO OOKA
NPI 1003233966
Internal Medicine - Gastroenterology in Bronx, NY

Active since March 27, 2014PECOS Enrolled
100/100
CMS Quality Rating
1825 EASTCHESTER RD, BRONX, NY 10461(844) 556-6683 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Aug 9, 2021, Mar 10, 2021 and 1 more (4 updates tracked since 2020).

About Kohtaro Ooka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOHTARO OOKA (NPI 1003233966) is an individual gastroenterology provider in Bronx, New York, licensed in New York (302700) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003233966
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKOHTARO OOKA
Location Address1825 EASTCHESTER RDBronx, NY 10461-2301
Mailing Address1825 Eastchester RdBronx, NY 10461-2301 · (844) 556-6683
Phone(844) 556-6683
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 27, 2014
Last NPPES UpdateOctober 2, 20244 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1003233966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 302700
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1825 EASTCHESTER RD, Bronx, NY 10461
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kohtaro Ooka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507178027
PECOS Enrollment IDI20200818000998
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services30 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
25 services25 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
23 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANGELICA ROSA ANGIULLI MD
Emergency Medicine
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2904
MR. ZAPHIN VARGHESE
Physician Assistant (Medical)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2000
YILUN LI
Physician Assistant
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (203) 710-6502
KIRA PAGE
Student in an Organized Health Care Education/Training Program
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2000
DR. CRISTINA MARIA GONZALEZ M.D.
Hospitalist
1825 EASTCHESTER RD, DOM 2-76
BRONX, NY 10461
Bronx County (718) 904-2400
DARSHITA SHAH MD
Obstetrics & Gynecology
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2767
SHRUTHEE RAJENDRAN
Physician Assistant (Medical)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2904
JORDAN WERST PA
Physician Assistant
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kohtaro Ooka's NPI number?

The NPI number for Kohtaro Ooka is 1003233966. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Kohtaro Ooka located?

Kohtaro Ooka practices at 1825 Eastchester Rd, Bronx, NY 10461. The listed phone number is (844) 556-6683.

What is Kohtaro Ooka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kohtaro Ooka enrolled in Medicare?

Yes. Kohtaro Ooka is registered in the Medicare PECOS enrollment system.

Is Kohtaro Ooka affiliated with any hospitals?

According to CMS data, Kohtaro Ooka is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Kohtaro Ooka was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.