HIDEAKI TANAKA (MD) – Emergency Medicine Physician, NPI 1124280730

HIDEAKI TANAKA (MD) is a healthcare provider. based in San diego, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A163007 (CA). The NPI Number for HIDEAKI TANAKA (MD) is 1124280730

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
HIDEAKI TANAKA (MD)
NPI
1124280730
Phone
Not provided
Address
PO BOX 232410
Enumeration Date
26 June 2008
Last Update Date
23 May 2023

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
8586577000
Graduation Year
2017 (9 years ago)
PAC ID
9133359870
Group Practice PAC ID
3577476761
Professional Enrollment ID
I20190814002556
Address ID
CA921039000SA200XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for HIDEAKI TANAKA (MD)

  • PO BOX 232410

    SAN DIEGO, CA 921932410

    Phone:

    Type: Mailing

  • UC San Diego Medical Center, 200, West Arbor Drive, Hillcrest, San Diego, San Diego County, California, 92103, United States

    SAN DIEGO, CA 921039000

    Phone: (800) 926-8273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Urgo Medical North America, LLC ($41).

Total Amount

$41

General + Research + Ownership

Payments

1

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190814002556IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes27152$0
99183Management of oxygen chamber therapy26245$0
11042Removal of skin and tissue, 20.0 sq cm or less24941$0
99285Emergency department visit with high level of medical decision making8787$0
97597Removal of tissue from wound, 20.0 sq cm or less6422$0
View full utilization report →

Insurance plans in this area (ZIP 92193)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577476761View full group profile

Reviews

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Frequently asked questions

What identifier follows HIDEAKI TANAKA (MD) across health systems?
The NPI 1124280730 uniquely identifies HIDEAKI TANAKA (MD) in U.S. healthcare data.
Should I treat HIDEAKI TANAKA (MD) as an active provider?
Patients and plans typically see HIDEAKI TANAKA (MD) as active in the national extract.
What type of care does HIDEAKI TANAKA (MD) provide?
HIDEAKI TANAKA (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is HIDEAKI TANAKA (MD) tied to San Diego, California?
If you are local to San Diego, California, HIDEAKI TANAKA (MD) may be relevant to your search.
Who maintains HIDEAKI TANAKA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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