DR. DAIZO TANAKA M.D.
NPI 1386984847
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA

Q: What is Daizo Tanaka's NPI number?

The NPI number for Daizo Tanaka is 1386984847. It was assigned to this individual provider in the NPPES registry on February 21, 2013.

Q: What is Daizo Tanaka's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Daizo Tanaka was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 February 21, 2013PECOS EnrolledAccepts Medicare Assignment

111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-6000 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Daizo Tanaka M.d. NPPES

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

DR. DAIZO TANAKA M.D. (NPI 1386984847) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD447672) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1386984847

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. DAIZO TANAKACredential: M.D.

Location Address111 S 11TH STPhiladelphia, PA 19107-4824

Mailing Address1025 Walnut St 605Philadelphia, PA 19107-5001 · (215) 519-5117

Phone(215) 955-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateFebruary 21, 2013

Last NPPES UpdateOctober 26, 2015

✔ NPI 1386984847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in PA · MD447672

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

111 S 11TH ST, Philadelphia, PA 19107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Daizo Tanaka M.d. 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 ID4981905270

PECOS Enrollment IDI20190523000273

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 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

41 services41 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

24 services22 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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.

NICOLE LYNN RENALDI D.O.

Anesthesiology

111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6161

LING FAN

Nurse Practitioner (Acute Care)

111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-8304

WILLIAM JUSTICE MD

Student in an Organized Health Care Education/Training Program

111 S 11TH ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 995-6000

DR. DAVID P. FRIEDMAN M.D.

Radiology (Diagnostic Radiology)

111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-2900

DR. WALTER K. KRAFT M.D.

Internal Medicine

111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6540

DR. TAKI GALANIS M.D.

Internal Medicine

111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6540

DR. STEVEN M LUDWIN M.D.

Internal Medicine

111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6610

JENNIFER L SWOPE CRNA

Nurse Anesthetist, Certified Registered

111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6161

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 Daizo Tanaka's NPI number?

The NPI number for Daizo Tanaka is 1386984847. It was assigned to this individual provider in the NPPES registry on February 21, 2013.

Where is Daizo Tanaka located?

Daizo Tanaka practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.

What is Daizo Tanaka's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Daizo Tanaka enrolled in Medicare?

Yes. Daizo Tanaka 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.

What insurance does Daizo Tanaka accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Daizo Tanaka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daizo Tanaka affiliated with any hospitals?

According to CMS data, Daizo Tanaka is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Daizo Tanaka was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.