SHIORI ANNE TAKASHIMA – Foot & Ankle Surgery Podiatrist, NPI 1407483647

SHIORI ANNE TAKASHIMA is a healthcare provider. based in Frisco, Texas. specializing in PODIATRY. They hold a License No. 692034 (TX). The NPI Number for SHIORI ANNE TAKASHIMA is 1407483647

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SHIORI ANNE TAKASHIMA
NPI
1407483647
Phone
(972) 712-7773
Address
5375 COIT RD STE 100
Enumeration Date
26 March 2020
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722745708
Graduation Year
2020 (6 years ago)
PAC ID
4183086895
Group Practice PAC ID
8820123862
Professional Enrollment ID
I20230811002939
Address ID
TX751152011DE2611XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,098 PODIATRY in TX

Provider Addresses for SHIORI ANNE TAKASHIMA

  • 5375 COIT RD STE 100

    FRISCO, TX 750354911

    Phone: (972) 712-7773

    Type: Mailing

  • 1395 E Eldorado Pkwy Ste 300

    Little Elm, TX 750685508

    Phone: (972) 712-7773

    Type: Location

  • 311 E 31ST ST APT 304

    AUSTIN, TX 787053067

    Phone: (915) 740-8810

    Type: Mailing

  • 2900 N LAKE SHORE DR

    CHICAGO, IL 606575640

    Phone: (773) 665-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $6,411.

Total Amount is formed as General ($6,411) + Research ($0) + Ownership ($0) = $6,411.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Orthofix Medical, Inc. ($1,865).

Total Amount

$6,411

General + Research + Ownership

Payments

68

Total payment records

General Amount

$6,411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2023-08-11

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
I20230811002939IPodiatryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75035)

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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: 8820123862View full group profile
NameSpecialtyState
P O D I A T R YTX
P O D I A T R YTX

Reviews

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Frequently asked questions

Can I cross-check SHIORI ANNE TAKASHIMA using NPI 1407483647?
NPI 1407483647 belongs to SHIORI ANNE TAKASHIMA; compare other details if you need extra assurance.
Is SHIORI ANNE TAKASHIMA shown as active in public data?
Registry records indicate SHIORI ANNE TAKASHIMA maintains an active NPI.
What expertise is attributed to SHIORI ANNE TAKASHIMA?
SHIORI ANNE TAKASHIMA's specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Texas is SHIORI ANNE TAKASHIMA registered?
Use Frisco, Texas as the headline location for SHIORI ANNE TAKASHIMA here.
Can I trust this NPI listing for SHIORI ANNE TAKASHIMA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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