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TAKESHI MATSUMOTO M.D.
NPI 1104856186
Internal Medicine in Los Angeles, CA

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1245 WILSHIRE BLVD, SUITE 680, LOS ANGELES, CA 90017(213) 620-0822(213) 620-1384 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Takeshi Matsumoto M.d. NPPES

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

TAKESHI MATSUMOTO M.D. (NPI 1104856186) is an individual internal medicine provider in Los Angeles, California, licensed in California (A035488) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1104856186
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTAKESHI MATSUMOTOCredential: M.D.
Location Address1245 WILSHIRE BLVD, SUITE 680Los Angeles, CA 90017-4810
Mailing Address1245 Wilshire Blvd, Suite 680Los Angeles, CA 90017-4810 · (213) 620-0822 · Fax (213) 620-1384
Phone(213) 620-0822
Fax(213) 620-1384
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateJuly 4, 2006
Last NPPES UpdateMay 6, 2016
✔ NPI 1104856186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A035488
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1245 WILSHIRE BLVD, Los Angeles, CA 90017
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Other Identifiers 2

Medicare UPINA27801CA
Medicare PINA35488CA

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

Takeshi Matsumoto M.d. 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.

PECOS PAC ID6709073281
PECOS Enrollment IDI20101209000652
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.

Medicare Billing Reassignment

Medicare enrollment records show Takeshi Matsumoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

White Memorial Medical Center
2.8 mi
General Acute Care Hospital
1720 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
NPI 1215927470 (323) 268-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
685 services294 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
343 services230 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
276 services178 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
214 services214 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
103 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
81 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,872 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
30%634 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
6%473 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
92%468 patients4/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
73%727 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
16%50 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
83%647 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
51%473 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
27%473 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers37 claims80 services$5.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers22 claims24 services$1.00 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$1.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PETER LORBER, M.D., A MEDICAL CORPORATION
Psychiatry & Neurology (Neurology)
1245 WILSHIRE BLVD, SUITE 814
LOS ANGELES, CA 90017
Los Angeles County (213) 481-0592
HOMAYOUN TABANDEH M.D.
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810
DR. JAMES C.S. HAHN M.D.
Internal Medicine
1245 WILSHIRE BLVD, SUITE 790
LOS ANGELES, CA 90017
Los Angeles County (323) 735-1111
DR. ELLSWORTH RAYMOND GRANT M.D
Internal Medicine (Hematology & Oncology)
1245 WILSHIRE BLVD, SUITE 801
LOS ANGELES, CA 90017
Los Angeles County (213) 481-3948
DR. ALEXIS GEORG HOEN MD
Internal Medicine
1245 WILSHIRE BLVD, STE 307
LOS ANGELES, CA 90017
Los Angeles County (213) 977-1165
DOWNTOWN LOS ANGELES MEDICAL GROUP INC
Specialist
1245 WILSHIRE BLVD, SUITE 905
LOS ANGELES, CA 90017
Los Angeles County (213) 481-0584
DR. RONALD ALAN GREENO MD
Internal Medicine (Pulmonary Disease)
1245 WILSHIRE BLVD, SUITE 407
LOS ANGELES, CA 90017
Los Angeles County (213) 977-4979
RICHARD H. ROE M.D.
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810

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 Takeshi Matsumoto's NPI number?

The NPI number for Takeshi Matsumoto is 1104856186. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Takeshi Matsumoto located?

Takeshi Matsumoto practices at 1245 Wilshire Blvd Suite 680, Los Angeles, CA 90017. The listed phone number is (213) 620-0822.

What is Takeshi Matsumoto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Takeshi Matsumoto enrolled in Medicare?

Yes. Takeshi Matsumoto 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 organization bills Medicare for Takeshi Matsumoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Takeshi Matsumoto reassigns Medicare benefits to White Memorial Medical Center (Los Angeles, CA). The 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 Takeshi Matsumoto'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 Takeshi Matsumoto was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.