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EDMUND TAMAS TAKATA
NPI 1518808906
Student in an Organized Health Care Education/Training Program in Middletown, CT

Active since April 02, 2026PECOS Enrolled
90 S MAIN ST STE 201, MIDDLETOWN, CT 06457(860) 358-6418 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Edmund Tamas Takata NPPES

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

EDMUND TAMAS TAKATA (NPI 1518808906) is an individual student in an organized health care education/training program in Middletown, Connecticut and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518808906
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDMUND TAMAS TAKATA
Location Address90 S MAIN ST STE 201Middletown, CT 06457-3649
Mailing Address90 S Main St Ste 201Middletown, CT 06457-3649
Phone(860) 358-6418
Sole ProprietorNo
Enumeration DateApril 2, 2026
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1518808906 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.
90 S MAIN ST STE 201, Middletown, CT 06457
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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)

Edmund Tamas Takata 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISRAEL DURAN SANTIBANEZ MD
Student in an Organized Health Care Education/Training Program
90 S MAIN ST STE 201
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6486

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 Edmund Takata's NPI number?

The NPI number for Edmund Takata is 1518808906. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Edmund Takata located?

Edmund Takata practices at 90 S Main St Ste 201, Middletown, CT 06457. The listed phone number is (860) 358-6418.

What is Edmund Takata's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Edmund Takata enrolled in Medicare?

Yes. Edmund Takata is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edmund Takata was last updated on June 22, 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.