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

YUTA KIKUCHI MD
NPI 1912689514
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA

Active since August 02, 2023PECOS Enrolled
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-6000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Yuta Kikuchi Md NPPES

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

YUTA KIKUCHI MD (NPI 1912689514) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD489351) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912689514
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameYUTA KIKUCHICredential: MD
Location Address111 S 11TH STPhiladelphia, PA 19107-4870
Mailing Address116 E Montgomery Ave Unit 416Ardmore, PA 19003-2437 · (470) 838-5646
Sole ProprietorNo
Enumeration DateAugust 2, 2023
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
NPI 1912689514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in PA · MD489351 Licensed in GA · 15817
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
111 S 11TH ST, Philadelphia, PA 19107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yuta Kikuchi Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

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 Yuta Kikuchi's NPI number?

The NPI number for Yuta Kikuchi is 1912689514. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Yuta Kikuchi located?

Yuta Kikuchi practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.

What is Yuta Kikuchi's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Yuta Kikuchi enrolled in Medicare?

Yes. Yuta Kikuchi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yuta Kikuchi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.