THEODORE SUNAO TAKATA MD
NPI 1801884382
Internal Medicine - Clinical Cardiac Electrophysiology in Fort Worth, TX

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
1300 W TERRELL AVE, #500, FORT WORTH, TX 76104(817) 252-5000(817) 252-5060 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore Sunao Takata Md NPPES

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

THEODORE SUNAO TAKATA MD (NPI 1801884382) is an individual clinical cardiac electrophysiology provider in Fort Worth, Texas, licensed in Texas (K8508) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of University Of Maryland School Of Medicine (1995).

NPPES Registry Identity

NPI1801884382
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameTHEODORE SUNAO TAKATACredential: MD
Location Address1300 W TERRELL AVE, #500Fort Worth, TX 76104-2800
Mailing Address1300 W Terrell Ave, #500Fort Worth, TX 76104-2800 · (817) 252-5000 · Fax (817) 252-5060
Fax(817) 252-5060
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1995
Enumeration DateOctober 10, 2005
Last NPPES UpdateAugust 15, 2011
NPI 1801884382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in TX · K8508
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
1300 W TERRELL AVE, Fort Worth, TX 76104

Other Identifiers 8

Other8M6142TX · Blue Cross
Medicaid039267205TX
Medicare PINTXB115217TX
OtherP00226814TX · Rail Road Medicare
Medicare PIN8C6707TX
Medicare UPINH06198TX
Medicaid039267203TX
Medicare PIN8744B0TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theodore Sunao Takata 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 ID1658332713
PECOS Enrollment IDI20041021000833
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.

Areas of Expertise CMS Part B claims 37

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
1,270 services552 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
949 services411 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
440 services332 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
329 services139 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.
252 services237 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
195 services162 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450779
Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

Nurse Practitioner (Acute Care)
1300 W TERRELL AVE
FORT WORTH, TX 76104
Internal Medicine (Cardiovascular Disease)
1300 W TERRELL AVE, #500
FORT WORTH, TX 76104
Urology
1300 W TERRELL AVE, SUITE 420
FORT WORTH, TX 76104
Obstetrics & Gynecology (Reproductive Endocrinology)
1300 W TERRELL AVE
FORT WORTH, TX 76104
Clinical Medical Laboratory
1300 W TERRELL AVE, SUITE 404
FORT WORTH, TX 76104
Urology
1300 W TERRELL AVE, SUITE 405
FORT WORTH, TX 76104
Internal Medicine (Interventional Cardiology)
1300 W TERRELL AVE, SUITE 500
FORT WORTH, TX 76104
Obstetrics & Gynecology
1300 W TERRELL AVE, SUITE 360
FORT WORTH, TX 76104

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 Theodore Takata's NPI number?

The NPI number for Theodore Takata is 1801884382. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Theodore Takata located?

Theodore Takata practices at 1300 W Terrell Ave #500, Fort Worth, TX 76104. The listed phone number is (817) 252-5000.

What is Theodore Takata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Theodore Takata enrolled in Medicare?

Yes. Theodore Takata 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.

What insurance does Theodore Takata accept?

Health plans from Blue Cross and Blue Shield of Texas list Theodore Takata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theodore Takata affiliated with any hospitals?

According to CMS data, Theodore Takata is affiliated with Texas Health Harris Methodist Hospital Fort Worth and Texas Health Harris Methodist Hospital Southwest F.

When was this NPI record last updated?

The NPPES record for Theodore Takata was last updated on August 15, 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.