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KEITAROH TAKEDA
NPI 1184076135
Emergency Medicine in El Paso, TX

Active since July 01, 2016PECOS EnrolledAccepts Medicare Assignment
4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-4625 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2023, Jul 1, 2016 (2 updates tracked since 2016).

About Keitaroh Takeda NPPES

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

KEITAROH TAKEDA (NPI 1184076135) is an individual emergency medicine provider in El Paso, Texas, licensed in Guam (M-2357) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Guam Regional Medical City, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1184076135
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKEITAROH TAKEDA
Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707
Mailing Address4801 Alberta AveEl Paso, TX 79905-2707
Phone(915) 215-4625
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 1, 2016
Last NPPES UpdateJanuary 2, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2023
✔ NPI 1184076135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GU · M-2357
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4801 ALBERTA AVE, El Paso, TX 79905
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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

Keitaroh Takeda 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 ID1951774322
PECOS Enrollment IDI20230306001591
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 Keitaroh Takeda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guam Healthcare Development Incorporated
Clinic/Center
133 ROUTE 3
Dededo, GU 96929
  • Reassigned Medicare billing, Guam enrollment
  • 432 clinicians in this Medicare group
NPI 1326447939 (671) 645-5500

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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
203 services182 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
202 services182 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
104 services98 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
54 services40 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
34 services12 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Guam Regional Medical City

Acute Care Hospitals · Dededo, GU
OwnershipVoluntary non-profit - Private
CMS Certification Number650003
Location133 Route 3Dededo, GU 96929 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

JOSEPH JEFFREY MILLER
Nurse Practitioner (Family)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5400
DR. ANDREW JONATHEN ORTEGA DO
Internal Medicine (Gastroenterology)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5200
MAJD HAWWAR
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
NATHALIA ARREDONDO APRN
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5300
CARA OGOCHUKWU ORJI MD
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
ELVIA MARTINEZ LSW/CPW
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6990
SCOTT DIESTE
Emergency Medicine
4801 ALBERTA AVE, STE. B3200
EL PASO, TX 79905
El Paso County (915) 215-4600
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5419

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 Keitaroh Takeda's NPI number?

The NPI number for Keitaroh Takeda is 1184076135. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Keitaroh Takeda located?

Keitaroh Takeda practices at 4801 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 215-4625.

What is Keitaroh Takeda's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Keitaroh Takeda enrolled in Medicare?

Yes. Keitaroh Takeda 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 Keitaroh Takeda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keitaroh Takeda reassigns Medicare benefits to Guam Healthcare Development Incorporated (Dededo, GU). 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 Keitaroh Takeda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Keitaroh Takeda affiliated with any hospitals?

According to CMS data, Keitaroh Takeda is affiliated with Guam Regional Medical City.

When was this NPI record last updated?

The NPPES record for Keitaroh Takeda was last updated on January 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.