NANAE TAKATORI M.D.
NPI 1508123217
Internal Medicine - Gastroenterology in Stanford, CA
About Nanae Takatori M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANAE TAKATORI M.D. (NPI 1508123217) is an individual gastroenterology provider in Stanford, California, licensed in California (A126593) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nanae Takatori 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.
Medicare Billing Reassignment
Medicare enrollment records show Nanae Takatori reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 1,233 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Nanae Takatori's NPI number?
The NPI number for Nanae Takatori is 1508123217. It was assigned to this individual provider in the NPPES registry on April 19, 2012.
Where is Nanae Takatori located?
Nanae Takatori practices at 300 Pasteur Dr Grant S101, Stanford, CA 94305. The listed phone number is (650) 723-6661.
What is Nanae Takatori's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Nanae Takatori enrolled in Medicare?
Yes. Nanae Takatori 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.
Which organization bills Medicare for Nanae Takatori's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nanae Takatori reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nanae Takatori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nanae Takatori was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nanae Takatori, M.D. · NPI 1508123217
Gastroenterology physician in Stanford, California. Individual provider, active in the CMS NPPES registry since April 19, 2012.
## Identity
- **NPI:** 1508123217 (Entity type: Individual)
- **Enumerated:** April 19, 2012
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** A126593 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, GRANT S101, Stanford, CA 94305-5109
- **Phone:** (650) 723-6661 · **Fax:** (650) 498-6205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sharp Rees-Stealy Medical Group, Inc (NPI 1285616177, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1508123217) · Data from the CMS NPPES public registry.