JAY TAKATA – Gastroenterology Physician, NPI 1083801518

JAY TAKATA is a healthcare provider. based in Athens, Texas. specializing in GASTROENTEROLOGY. They hold a License No. K7400 (TX). The NPI Number for JAY TAKATA is 1083801518

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JAY TAKATA
NPI
1083801518
Phone
(903) 677-3737
Address
901 S PALESTINE ST
Enumeration Date
28 September 2007
Last Update Date
6 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7754455181
Graduation Year
1989 (37 years ago)
PAC ID
6507750924
Group Practice PAC ID
1254787203
Professional Enrollment ID
I20250924000782
Address ID
NV897061681CA2874XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

1,498 GASTROENTEROLOGY in TX

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Provider Addresses for JAY TAKATA

  • 901, South Palestine Street, Athens, Henderson County, Texas, 75751, United States

    ATHENS, TX 757513612

    Phone: (903) 677-3737

    Fax: (903) 677-6014

    Type: Location

  • 115 S MURCHISON ST

    ATHENS, TX 757512662

    Phone: (903) 677-3737

    Fax: (903) 677-6014

    Type: Location

  • 115, South Murchison Street, Athens, Henderson County, Texas, 75751, United States

    ATHENS, TX 757512662

    Phone: (903) 677-3737

    Fax: (903) 677-6014

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $662.

Total Amount is formed as General ($662) + Research ($0) + Ownership ($0) = $662.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($308).

Total Amount

$662

General + Research + Ownership

Payments

35

Total payment records

General Amount

$662

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2025-09-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040209000420IGastroenterologyTXTBD
I20250924000782IGastroenterologyNVTBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare170170$0
99213Established patient office or other outpatient visit, 20-29 minutes145104$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9645$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9186$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8780$0
View full utilization report →

Insurance plans in this area (ZIP 75751)

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Provider's Procedures

JAY TAKATA performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTX43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope201193
GASTROENTEROLOGYTX45378Diagnostic examination of large bowel using an endoscope7472

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: 1254787203View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YNV
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)NV
U R O L O G YCA
P S Y C H I A T R YNV
Nurse PractitionerNV
Family PracticeNV
Hand Surgery, Plastic And Reconstructive SurgeryNV
Nurse PractitionerNV
General SurgeryNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

How is JAY TAKATA identified in CMS data?
CMS-hosted NPPES data lists JAY TAKATA with NPI 1083801518.
Does CMS list JAY TAKATA as active?
Yes — JAY TAKATA is active in the NPI listing used on this page.
What is JAY TAKATA's primary classification?
Gastroenterology Physician is the headline specialty for JAY TAKATA here. Clinical services aligned with this taxonomy classification.
Where is JAY TAKATA based?
JAY TAKATA is tied to Athens, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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