KEN DEKITANI
NPI 1003376716
Internal Medicine in Los Angeles, CA
About Ken Dekitani NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEN DEKITANI (NPI 1003376716) is an individual internal medicine provider in Los Angeles, California, licensed in California (A176980) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ken Dekitani is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Ken Dekitani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 198 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 554 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Ken Dekitani's NPI number?
The NPI number for Ken Dekitani is 1003376716. It was assigned to this individual provider in the NPPES registry on March 20, 2019.
Where is Ken Dekitani located?
Ken Dekitani practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 267-7849.
What is Ken Dekitani's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ken Dekitani enrolled in Medicare?
Yes. Ken Dekitani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ken Dekitani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ken Dekitani reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Los Angeles, CA), Superior Hospitalist Medical Group Inc (Los Angeles, CA) and Martin Luther King Jr Community Medical Foundation (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ken Dekitani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ken Dekitani was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ken Dekitani · NPI 1003376716
Internal Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1003376716 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A176980 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-8358
- **Phone:** (310) 267-7849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA); Superior Hospitalist Medical Group Inc (NPI 1780047712, Los Angeles, CA); Martin Luther King Jr Community Medical Foundation (NPI 1356899777, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003376716) · Data from the CMS NPPES public registry.