GEN TANAKA M.D.
NPI 1245511765
Student in an Organized Health Care Education/Training Program in Brockton, MA

Q: What is Gen Tanaka's NPI number?

The NPI number for Gen Tanaka is 1245511765. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Q: What is Gen Tanaka'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 Gen Tanaka was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 30, 2011PECOS Enrolled

940 BELMONT ST, PSYCHIATRY 116A7, BROCKTON, MA 02301(774) 826-2458 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gen Tanaka M.d. NPPES

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

GEN TANAKA M.D. (NPI 1245511765) is an individual student in an organized health care education/training program in Brockton, Massachusetts, licensed in Massachusetts (248497) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245511765

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGEN TANAKACredential: M.D.

Location Address940 BELMONT ST, PSYCHIATRY 116A7Brockton, MA 02301-5596

Mailing Address75 Donald St, Apt 58Weymouth, MA 02188-3962 · (310) 793-6152

Phone(774) 826-2458

Sole ProprietorNo

Enumeration DateAugust 30, 2011

✔ NPI 1245511765 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 MA · 248497

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.

940 BELMONT ST, Brockton, MA 02301

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gen Tanaka M.d. 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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

41 services15 patients

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.

ERIN ELIZABETH SULLIVAN

Social Worker (Clinical)