Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAIJI TAKAJO M.D.
NPI 1619532306
Pediatrics - Pediatric Cardiology in Saint Louis, MO

Active since May 08, 2019PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5633(314) 268-4035 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2026, Nov 22, 2025, Jul 25, 2019 and 2 more (5 updates tracked since 2019).

About Daiji Takajo M.d. NPPES

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

DAIJI TAKAJO M.D. (NPI 1619532306) is an individual pediatric cardiology provider in Saint Louis, Missouri, licensed in Missouri (2026010882) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619532306
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDAIJI TAKAJOCredential: M.D.
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5633 · Fax (314) 268-4035
Fax(314) 268-4035
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 8, 2019
Last NPPES UpdateJune 27, 20265 updates tracked since enumeration
NPPES CertifiedJune 27, 2026
NPI 1619532306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses Licensed in MO · 2026010882 Licensed in IL · 036.179439
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1465 S GRAND BLVD, Saint Louis, MO 63104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daiji Takajo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244565703
PECOS Enrollment IDI20260509000294
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.

Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Daiji Takajo's NPI number?

The NPI number for Daiji Takajo is 1619532306. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Daiji Takajo located?

Daiji Takajo practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5633.

What is Daiji Takajo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Daiji Takajo enrolled in Medicare?

Yes. Daiji Takajo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daiji Takajo was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.