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DR. JOHN TSUKURU FUKUDA
NPI 1598772386
Dentist - General Practice in Nederland, TX

Active since August 02, 2006Opted out of Medicare · through Apr 12, 2028
1435 S HWY 69, NEDERLAND, TX 77627(409) 722-1496(409) 722-1413 Get Directions Write a Review

NPPES record last updated: December 17, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. John Tsukuru Fukuda NPPES

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

DR. JOHN TSUKURU FUKUDA (NPI 1598772386) is an individual general practice provider in Nederland, Texas, licensed in Texas (16264) and active in the NPI registry since August 2006. He has opted out of Medicare through April 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1598772386
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN TSUKURU FUKUDA
Location Address1435 S HWY 69Nederland, TX 77627
Mailing Address1435 S Highway 69Nederland, TX 77627 · (409) 722-1496 · Fax (409) 722-1413
Phone(409) 722-1496
Fax(409) 722-1413
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateDecember 17, 2010
✔ NPI 1598772386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 16264
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1435 S HWY 69, Nederland, TX 77627
Open in Google Maps ↗

Other Identifiers 1

Other76-0478522TX · Tax Id Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Tsukuru Fukuda has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2016 through April 12, 2028.

Opt-Out Effective DateApril 12, 2016
Opt-Out In Effect ThroughApril 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77627 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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.

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 John Fukuda's NPI number?

The NPI number for John Fukuda is 1598772386. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is John Fukuda located?

John Fukuda practices at 1435 S Hwy 69, Nederland, TX 77627. The listed phone number is (409) 722-1496.

What is John Fukuda's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Fukuda enrolled in Medicare?

No. John Fukuda has opted out of Medicare through April 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Fukuda was last updated on December 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.