MR. KEN T TAKEGAMI MD
NPI 1932251873
Dermatology in Tullahoma, TN

NPI Status: Active since January 18, 2007

Contact Information

100 WILLIAM NORTHERN BLVD
SUITE C
TULLAHOMA, TN
ZIP 37388
Phone: (931) 455-7400
Fax: (931) 455-6344

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  • Individual
  • Male
  • Dermatology
  • Medicare Quality Reporting

About KEN TAKEGAMI

This page provides the complete NPI Profile along with additional information for Ken Takegami, a provider established in Tullahoma, Tennessee with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1932251873 assigned on January 2007. The practitioner's primary taxonomy code is 207N00000X with license number MD021099 (TN). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1932251873
Provider Name
MR. KEN T TAKEGAMI MD
Gender
Male
Entity Type
Individual
Location Address
100 WILLIAM NORTHERN BLVD SUITE C TULLAHOMA, TN 37388
Location Phone
(931) 455-7400
Location Fax
(931) 455-6344
Mailing Address
100 WILLIAM NORTHERN BLVD SUITE C TULLAHOMA, TN 37388
Mailing Phone
(931) 455-7400
Mailing Fax
(931) 455-6344
Is Sole Proprietor?
No
Enumeration Date
01-18-2007
Last Update Date
12-04-2009
Code Navigator

A dermatologist like Ken Takegami is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD021099
License State
TN
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

MD0000021099 (TN)
2207ND0900XAllopathic & Osteopathic Physicians

Dermatology
Dermatopathology

MD0000021099 (TN)
3207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

MD0000021099 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3075822OTHER (01)TNMEDICARE
F59650MEDICARE UPIN (02) 
3373903MEDICAID (05)TN 
3373903MEDICARE ID-TYPE UNSPECIFIED (04)TNGP NUMBER
3063983OTHER (01)TNBCBS OF TENNESSEE

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
e-Prescribing 97% 510
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patient-Specific Education 78% 770
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 61% 1057
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84% 62
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 78% 770
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932251873, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 4 + 5 + 2 + 8 + 1 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1932251873.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Dermatology
100 WILLIAM NORTHERN BLVD, STE C
TULLAHOMA, TN 37388
Family Medicine
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Family Medicine
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Internal Medicine
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Internal Medicine
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Family Medicine
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Nurse Practitioner
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Family Medicine
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Physician Assistant
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Nurse Practitioner (Family)
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Surgery
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Surgery
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Nurse Practitioner (Gerontology)
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Nurse Practitioner (Family)
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388
Nurse Practitioner (Primary Care)
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 37388

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932251873, enumerated as an "individual" on January 18, 2007.

The provider is located at 100 WILLIAM NORTHERN BLVD SUITE C TULLAHOMA, TN 37388 and the phone number is (931) 455-7400.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.