Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HODAKA TAKAISO M.B.
NPI 1215628474
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Q: What is Hodaka Takaiso's NPI number?

The NPI number for Hodaka Takaiso is 1215628474. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Q: What is Hodaka Takaiso's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Hodaka Takaiso was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.

Active since May 18, 2023

4401 PENN AVE STE 2000, SUITE 02000, FACULTY PAVILION, PITTSBURGH, PA 15224(412) 692-6236(412) 692-6076 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2023, May 18, 2023 (2 updates tracked since 2023).

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About Hodaka Takaiso M.b. NPPES

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

HODAKA TAKAISO M.B. (NPI 1215628474) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD496135) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1215628474

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHODAKA TAKAISOCredential: M.B.

Location Address4401 PENN AVE STE 2000, SUITE 02000, FACULTY PAVILIONPittsburgh, PA 15224-1334

Mailing Address3600 Forbes AvePittsburgh, PA 15213-3410

Phone(412) 692-6236

Fax(412) 692-6076

Sole ProprietorNo

Enumeration DateMay 18, 2023

Last NPPES UpdateJune 28, 20262 updates tracked since enumeration

NPPES CertifiedJune 28, 2026

✔ NPI 1215628474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in PA · MD496135

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4401 PENN AVE STE 2000, Pittsburgh, PA 15224

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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 Hodaka Takaiso's NPI number?

The NPI number for Hodaka Takaiso is 1215628474. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Hodaka Takaiso located?

Hodaka Takaiso practices at 4401 Penn Ave Ste 2000 Suite 02000, Faculty Pavilion, Pittsburgh, PA 15224. The listed phone number is (412) 692-6236.

What is Hodaka Takaiso's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Hodaka Takaiso was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.