TAKAHIRO OTSUKA MD
NPI 1790895803
Internal Medicine - Endocrinology, Diabetes & Metabolism in Loma Linda, CA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
11370 ANDERSON ST, SUITE 3400, LOMA LINDA, CA 92354(909) 558-2870 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Takahiro Otsuka Md NPPES

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

TAKAHIRO OTSUKA MD (NPI 1790895803) is an individual endocrinology, diabetes & metabolism provider in Loma Linda, California, licensed in California (A55960) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1790895803
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameTAKAHIRO OTSUKACredential: MD
Location Address11370 ANDERSON ST, SUITE 3400Loma Linda, CA 92354-3450
Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-3111
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 11, 2011
✔ NPI 1790895803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A55960
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
11370 ANDERSON ST, Loma Linda, CA 92354

Other Identifiers 4

Medicare UPINH01886
Medicaid00A559600CA
Medicare PIN00A559602CA
Medicare ID-Type UnspecifiedWA55960

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

Takahiro Otsuka Md 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.

PECOS PAC ID749234078
PECOS Enrollment IDI20050309000447
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Takahiro Otsuka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
11370 ANDERSON ST, SUITE 2600
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
12780 HESPERIA RD
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment

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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
413 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
352 services192 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
122 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
67 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
56 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%43 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%34 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers28 claims298 services$17.99 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers28 claims790 services$2.30 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims11 services$158.43 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
29 suppliers79 claims303 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers30 claims61 services$0.99 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers24 claims24 services$319.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
11370 ANDERSON ST
LOMA LINDA, CA 92354
Otolaryngology
11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354
Urology
11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354
Internal Medicine (Gastroenterology)
11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354
Internal Medicine
11370 ANDERSON ST
LOMA LINDA, CA 92354
Psychiatry & Neurology (Neurology)
11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354
Pediatrics (Neonatal-Perinatal Medicine)
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
Dermatology (MOHS-Micrographic Surgery)
11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354

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 Takahiro Otsuka's NPI number?

The NPI number for Takahiro Otsuka is 1790895803. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Takahiro Otsuka located?

Takahiro Otsuka practices at 11370 Anderson St Suite 3400, Loma Linda, CA 92354. The listed phone number is (909) 558-2870.

What is Takahiro Otsuka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Takahiro Otsuka enrolled in Medicare?

Yes. Takahiro Otsuka 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 organizations bill Medicare for Takahiro Otsuka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Takahiro Otsuka reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Tm & Hana Medical Corporation (Victorville, CA). Each 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 Takahiro Otsuka'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 Takahiro Otsuka was last updated on July 11, 2011. 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.