KENT TADOKORO
NPI 1285096602
Student in an Organized Health Care Education/Training Program in Maywood, IL

Q: What is Kent Tadokoro's NPI number?

The NPI number for Kent Tadokoro is 1285096602. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Q: What is Kent Tadokoro'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 Kent Tadokoro was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 24, 2016PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-1676 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2023, Mar 24, 2016 (2 updates tracked since 2016).

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About Kent Tadokoro NPPES

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

KENT TADOKORO (NPI 1285096602) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2016).

NPPES Registry Identity

NPI1285096602

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKENT TADOKORO

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328

Phone(708) 216-1676

Sole ProprietorYes

Medical School CMSMedical College Of WisconsinGraduated 2016

Enumeration DateMarch 24, 2016

Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2023

✔ NPI 1285096602 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

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.

2160 S 1ST AVE, Maywood, IL 60153

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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 and accepts Medicare assignment

Kent Tadokoro 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 ID6901197516

PECOS Enrollment IDI20221012002024

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.

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.

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