THEODORE SUNAO TAKATA (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1801884382
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
276 CARDIAC ELECTROPHYSIOLOGY in TX
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Provider Addresses for THEODORE SUNAO TAKATA (MD)
1300, West Terrell Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
#500
FORT WORTH, TX 761042800
Phone: (817) 252-5000
Fax: (817) 252-5060
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 254 Open Payments records for all available years, with a total value of $119,130.
Total Amount is formed as General ($119,130) + Research ($0) + Ownership ($0) = $119,130.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($55,058).
Total Amount
$119,130
General + Research + Ownership
Payments
254
Total payment records
General Amount
$119,130
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $55,058 |
| Medtronic, Inc. | $33,110 |
| Lilly USA, LLC | $28,639 |
| Bayer Healthcare Pharmaceuticals Inc. | $1,220 |
| Abbott Laboratories | $323 |
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: 2004-10-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041021000833 | I | Cardiac Electrophysiology | TX | 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 |
|---|---|---|---|---|
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 1,346 | 556 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 1,014 | 417 | $0 |
| 93295 | Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 330 | 142 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 286 | 248 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 196 | 98 | $0 |
Insurance plans in this area (ZIP 76104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 70 | 59 |
| CARDIAC ELECTROPHYSIOLOGY | TX | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 81 | 71 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Vascular Surgery | PA | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Family Practice | TX |
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