DR. SOSTANIE TAKOTA ENORU (M.D.) – Cardiovascular Disease Physician, NPI 1740671254
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
204 INTERVENTIONAL CARDIOLOGY in MO
Provider Addresses for DR. SOSTANIE TAKOTA ENORU (M.D.)
PO BOX 363
JEFFERSON CITY, MO 651020363
Phone: (573) 636-0635
Type: Mailing
3501 W TRUMAN BLVD # A
JEFFERSON CITY, MO 651090514
Phone: (573) 636-0635
Type: Location
355 BARD AVE
DEPT OF MEDICINE
STATEN ISLAND, NY 103101664
Phone: (718) 818-1234
Type: Mailing
450 CLARKSON AVE
BROOKLYN, NY 11203
Phone: (718) 270-1568
Type: Location
450 Clarkson Ave
Brooklyn, NY 11203
Phone: (718) 270-1568
Type: Location
355 Bard Ave
Department of Medicine Villa Bldg 1st Floor
Staten Island, NY 103101664
Phone: (718) 818-2419
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $405.
Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Boston Scientific Corporation ($219).
Total Amount
$405
General + Research + Ownership
Payments
12
Total payment records
General Amount
$405
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200904001584 | I | Internal Medicine | NY | TBD |
| I20220823003529 | I | Interventional Cardiology | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,074 | 868 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 235 | 233 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 232 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 164 | 128 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 130 | 121 | $0 |
Insurance plans in this area (ZIP 65102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| General Surgery | MO | |
| Family Practice | MO | |
| Psychiatry, Neurology | MO | |
| - | MO | |
| - | MO | |
| - | OH | |
| Family Practice | MO | |
| - | WA | |
| Diagnostic Radiology | MO |
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