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KOHTAROH BRIAN TAKAMURA D.O.
NPI 1932559200
Emergency Medicine in Philadelphia, PA

Active since June 17, 2016PECOS Enrolled
230 N BROAD ST, MS #623, PHILADELPHIA, PA 19102(215) 762-2618 Get Directions Write a Review

NPPES record last updated: June 18, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kohtaroh Brian Takamura D.o. NPPES

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

KOHTAROH BRIAN TAKAMURA D.O. (NPI 1932559200) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT017293) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932559200
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKOHTAROH BRIAN TAKAMURACredential: D.O.
Location Address230 N BROAD ST, MS #623Philadelphia, PA 19102-1121
Mailing Address230 N Broad St, Ms #623Philadelphia, PA 19102-1121 · (215) 762-2618
Phone(215) 762-2618
Sole ProprietorNo
Enumeration DateJune 17, 2016
Last NPPES UpdateJune 18, 2016
✔ NPI 1932559200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · OT017293
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
230 N BROAD ST, Philadelphia, PA 19102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kohtaroh Brian Takamura D.o. 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.

Medicare Billing Reassignments

2

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

Corona Regional Emergency Medical Associates Inc
2,363 mi
Emergency Medicine
800 S MAIN ST
Corona, CA 92882
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
NPI 1134629298 (310) 321-0143
Beach Emergency Medical Associates
2,389 mi
Emergency Medicine
17772 BEACH BLVD
Huntington Beach, CA 92647
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1013074996 (310) 379-2134

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

RIAN JOHN PILLITTERI M.D.
Emergency Medicine
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7963
BRITNY ROGALA PHARMD
Pharmacist
230 N BROAD ST, B40
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-1101
MELISSA BRODSKY MD
Anesthesiology
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7922
COLLEEN PATRICIA NOFI DO
Surgery
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7000
ANDREW S WECHSLER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
230 N BROAD ST, 744 N TOWER
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7802
DR. JOHN RODNEY CLARKE M.D.
Surgery
230 N BROAD ST, HAHNEMANN UNIVERSITY HOSPITAL, MAIL STOP 993
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2010
LINDSEY CARLISLE WILLIAMS D.O.
Radiology (Diagnostic Radiology)
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7000
ELIZABETH MARY VARUGHESE MD
Internal Medicine
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-6900

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 Kohtaroh Takamura's NPI number?

The NPI number for Kohtaroh Takamura is 1932559200. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Kohtaroh Takamura located?

Kohtaroh Takamura practices at 230 N Broad St Ms #623, Philadelphia, PA 19102. The listed phone number is (215) 762-2618.

What is Kohtaroh Takamura's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kohtaroh Takamura enrolled in Medicare?

Yes. Kohtaroh Takamura is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kohtaroh Takamura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kohtaroh Takamura reassigns Medicare benefits to 2 organizations: Corona Regional Emergency Medical Associates Inc (Corona, CA) and Beach Emergency Medical Associates (Huntington Beach, 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 Kohtaroh Takamura'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 Kohtaroh Takamura was last updated on June 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.