MEGUMI TAKAYAMA MAYNARD (M.D.) – Family Medicine Physician, NPI 1568860377

MEGUMI TAKAYAMA MAYNARD (M.D.) is a healthcare provider. based in Cleveland, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 34368 (TN). The NPI Number for MEGUMI TAKAYAMA MAYNARD (M.D.) is 1568860377

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MEGUMI TAKAYAMA MAYNARD (M.D.)
NPI
1568860377
Phone
(216) 443-0430
Address
600 SUPERIOR AVENUE, EAST
Enumeration Date
10 December 2014
Last Update Date
10 December 2014

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8653732030
Graduation Year
1995 (31 years ago)
PAC ID
2062730898
Group Practice PAC ID
4082682778
Professional Enrollment ID
I20150407002328
Address ID
TN379234308KN9330XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for MEGUMI TAKAYAMA MAYNARD (M.D.)

  • 600 SUPERIOR AVENUE, EAST

    SUITE 2400

    CLEVELAND, OH 44114

    Phone: (216) 443-0430

    Fax: (216) 443-0435

    Type: Mailing

  • 900 E. OAK HILL AVENUE

    KNOXVILLE, TN 37917

    Phone: (865) 545-7341

    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: 2015-04-07

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
I20150407002328IFamily PracticeTNTBD

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
99183Management of oxygen chamber therapy31529$0
99213Established patient office or other outpatient visit, 20-29 minutes5222$0
View full utilization report →

Insurance plans in this area (ZIP 44114)

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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: 4082682778View full group profile
NameSpecialtyState
-OH
Family PracticeOH
Nurse PractitionerTN
Nurse PractitionerTN
Cardiac Surgery, Emergency Medicine, Thoracic SurgeryPA
Nurse PractitionerOH
Emergency MedicineOH
General Practice, General SurgeryOH
Family PracticeTN
-OH

Reviews

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Frequently asked questions

Can I cross-check MEGUMI TAKAYAMA MAYNARD (M.D.) using NPI 1568860377?
NPI 1568860377 belongs to MEGUMI TAKAYAMA MAYNARD (M.D.); compare other details if you need extra assurance.
Is there an active status for MEGUMI TAKAYAMA MAYNARD (M.D.)?
For scheduling context, MEGUMI TAKAYAMA MAYNARD (M.D.) is shown as active in the registry.
What area of care is associated with MEGUMI TAKAYAMA MAYNARD (M.D.)?
MEGUMI TAKAYAMA MAYNARD (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MEGUMI TAKAYAMA MAYNARD (M.D.)?
Directory geography for MEGUMI TAKAYAMA MAYNARD (M.D.) centers on Cleveland, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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