DR. KOTARO TAKEDA M.D.
NPI 1811494313
Student in an Organized Health Care Education/Training Program in New Haven, CT
About Dr. Kotaro Takeda M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KOTARO TAKEDA M.D. (NPI 1811494313) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Healthalliance Hospital Marys Avenue Campus, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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
Dr. Kotaro Takeda M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kotaro Takeda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Valhalla, NY 10595
- Reassigned Medicare billing, New York enrollment
- 1,663 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Healthalliance Hospital Marys Avenue Campus
Acute Care Hospitals · Kingston, NYWestchester Medical Center
Acute Care Hospitals · Valhalla, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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 Kotaro Takeda's NPI number?
The NPI number for Kotaro Takeda is 1811494313. It was assigned to this individual provider in the NPPES registry on April 11, 2018.
Where is Kotaro Takeda located?
Kotaro Takeda practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.
What is Kotaro Takeda's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kotaro Takeda enrolled in Medicare?
Yes. Kotaro Takeda 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 organization bills Medicare for Kotaro Takeda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kotaro Takeda reassigns Medicare benefits to Westchester Medical Center Advanced Physician Services PC (Valhalla, NY). The 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 Kotaro Takeda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kotaro Takeda affiliated with any hospitals?
According to CMS data, Kotaro Takeda is affiliated with Healthalliance Hospital Marys Avenue Campus and Westchester Medical Center.
When was this NPI record last updated?
The NPPES record for Kotaro Takeda was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.