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KEITA OKUBO MD, PHD
NPI 1720601941
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 21, 2020PECOS Enrolled
545 BARNHILL DR, INDIANAPOLIS, IN 46202(317) 278-0394 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2022, Sep 9, 2020, Jul 13, 2020 and 2 more (5 updates tracked since 2020).

About Keita Okubo Md, Phd NPPES

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

KEITA OKUBO MD, PHD (NPI 1720601941) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11022612A) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720601941
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEITA OKUBOCredential: MD, PHD
Location Address545 BARNHILL DRIndianapolis, IN 46202-5112
Mailing Address545 Barnhill DrIndianapolis, IN 46202-5112 · (317) 278-0394
Phone(317) 278-0394
Sole ProprietorNo
Enumeration DateMay 21, 2020
Last NPPES UpdateJuly 27, 20225 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
✔ NPI 1720601941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 11022612A
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.
Also ListedTransplant SurgeryTaxonomy 204F00000X · License 00000000 (AZ)
Also ListedSurgeryTaxonomy 208600000X · License R78314 (AZ)
545 BARNHILL DR, Indianapolis, IN 46202
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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)

Keita Okubo Md, Phd 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 20

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

KEERET KAUR DHILLON MD
Internal Medicine
545 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-8438
DR. JOHN J. COLEMAN III M.D.
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Marion County (317) 274-3636
MELLISA MOORMAN NP
Nurse Practitioner
545 BARNHILL DR, EH 203
INDIANAPOLIS, IN 46202
Marion County (317) 274-3086
MATTHEW TURNER MD
Dermatology
545 BARNHILL DR, EH 139
INDIANAPOLIS, IN 46202
Marion County (317) 274-7705
UNIVERSITY NEUROSURGICAL ASSOCIATES, INC.
Specialist
545 BARNHILL DR, SUITE #139
INDIANAPOLIS, IN 46202
Marion County (317) 274-8422
UNIVERSITY PEDIATRIC PLASTIC SURGERY ASSOCIATES, PC
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Marion County (317) 274-3636
DR. IVAN HADAD M.D.
Plastic Surgery
545 BARNHILL DR, SUITE 202 EMERSON HALL
INDIANAPOLIS, IN 46202
Marion County (317) 274-4966
DR. BRANDON MICHAEL LARSON MD
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 278-0394

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 Keita Okubo's NPI number?

The NPI number for Keita Okubo is 1720601941. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Keita Okubo located?

Keita Okubo practices at 545 Barnhill Dr, Indianapolis, IN 46202. The listed phone number is (317) 278-0394.

What is Keita Okubo's specialty?

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

Is Keita Okubo enrolled in Medicare?

Yes. Keita Okubo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keita Okubo was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.