1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

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

Active since May 18, 2023PECOS Enrolled
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 30, 2026.

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

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. He is enrolled in Medicare PECOS.

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
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)

Hodaka Takaiso M.b. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Is Hodaka Takaiso enrolled in Medicare?

Yes. Hodaka Takaiso is registered in the Medicare PECOS enrollment system.

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 2 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.