MIDORI TAKEYASU PAR (M.D.) – Emergency Medicine Physician, NPI 1376543199

MIDORI TAKEYASU PAR (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036094882 (IL). The NPI Number for MIDORI TAKEYASU PAR (M.D.) is 1376543199

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MIDORI TAKEYASU PAR (M.D.)
NPI
1376543199
Phone
(630) 469-9200
Address
1860 PAYSHERE CIRCLE
Enumeration Date
22 July 2005
Last Update Date
10 October 2017

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6304326180
Graduation Year
1994 (32 years ago)
PAC ID
3870494024
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20040120000327
Address ID
IL605321348LI430XXRDXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for MIDORI TAKEYASU PAR (M.D.)

  • 1860 PAYSHERE CIRCLE

    CHICAGO, IL 606740001

    Phone: (630) 469-9200

    Type: Mailing

  • Rush, 430, Warrenville Road, Lisle, DuPage County, Illinois, 60515, United States

    LISLE, IL 605321348

    Phone: (630) 432-6180

    Type: Location

  • 5645 W Addison St

    Chicago, IL 606344403

    Phone: (773) 282-7000

    Fax: (773) 794-7664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-01-20

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
I20040120000327IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making148138$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only8779$0
99284Emergency department visit with moderate level of medical decision making5451$0
99291Critical care, first 30-74 minutes4343$0
99214Established patient office or other outpatient visit, 30-39 minutes3330$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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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: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Is there an official ID for MIDORI TAKEYASU PAR (M.D.) in U.S. healthcare records?
The official identifier for MIDORI TAKEYASU PAR (M.D.) is NPI 1376543199.
Is MIDORI TAKEYASU PAR (M.D.) still an active registrant?
MIDORI TAKEYASU PAR (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for MIDORI TAKEYASU PAR (M.D.)?
At a glance, MIDORI TAKEYASU PAR (M.D.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MIDORI TAKEYASU PAR (M.D.) associated with Chicago?
Public fields place MIDORI TAKEYASU PAR (M.D.) around Chicago, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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