DR. MARK T. TAKAKI (MD) – Diagnostic Radiology Physician, NPI 1629188669

DR. MARK T. TAKAKI (MD) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD00044974 (WA). The NPI Number for DR. MARK T. TAKAKI (MD) is 1629188669

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK T. TAKAKI (MD)
NPI
1629188669
Phone
(952) 595-1301
Address
11995 SINGLETREE LN
Enumeration Date
30 August 2006
Last Update Date
27 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8084323800
Graduation Year
2001 (25 years ago)
PAC ID
7315948171
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20100721000981
Address ID
HI967442017KA45602HWYX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

185 DIAGNOSTIC RADIOLOGY in HI

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Provider Addresses for DR. MARK T. TAKAKI (MD)

  • Singletree Ln, Prairie Center Drive, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    SUITE 500

    EDEN PRAIRIE, MN 553445347

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 69, Niuiki Circle, Niu Valley, Niu and Niuiki Circle, Hawaii Loa Ridge, East Honolulu, Honolulu, Honolulu County, Hawaii, 96821, United States

    HONOLULU, HI 968212340

    Phone: (952) 595-1100

    Fax: (612) 294-4903

    Type: Location

  • 3288 MOANALUA RD

    HONOLULU, HI 968191469

    Phone: (808) 432-0000

    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: 2010-07-21

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
I20100721000981IDiagnostic RadiologyHITBD

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
71045X-ray of chest, 1 view3734$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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Provider's Procedures

DR. MARK T. TAKAKI (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYHI73630X-ray of foot, minimum of 3 views1313
DIAGNOSTIC RADIOLOGYHI74177CT scan of abdomen and pelvis with contrast8584

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: 7618880667View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
O P T O M E T R YHI
-HI
Physician AssistantHI
Emergency MedicineVA
Orthopedic SurgeryHI
Internal MedicineHI
Orthopedic SurgeryHI
-HI
-CO

Reviews

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Frequently asked questions

Is there an official ID for DR. MARK T. TAKAKI (MD) in U.S. healthcare records?
The official identifier for DR. MARK T. TAKAKI (MD) is NPI 1629188669.
Is DR. MARK T. TAKAKI (MD) shown as active in public data?
Registry records indicate DR. MARK T. TAKAKI (MD) maintains an active NPI.
What area of care is associated with DR. MARK T. TAKAKI (MD)?
DR. MARK T. TAKAKI (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARK T. TAKAKI (MD)?
Directory geography for DR. MARK T. TAKAKI (MD) centers on Eden Prairie, Minnesota.
When was this NPI issued?
Enumeration for DR. MARK T. TAKAKI (MD) is noted as August 30, 2006 where the registry provides it.

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