TAKUSHI KOHMOTO (MD PHD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1013971688

TAKUSHI KOHMOTO (MD PHD) is a healthcare provider. based in Madison, Wisconsin. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), THORACIC SURGERY. They hold the professional credentials MD PHD. They hold a License No. 42 (WI). The NPI Number for TAKUSHI KOHMOTO (MD PHD) is 1013971688

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
TAKUSHI KOHMOTO (MD PHD)
NPI
1013971688
Phone
(608) 263-1530
Address
600 Highland Ave
Enumeration Date
12 April 2006
Last Update Date
15 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4148053666
Graduation Year
1989 (37 years ago)
PAC ID
6800858606
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20041103000746
Address ID
WI532263548MI8701XPLAN400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

704 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WI

Provider Addresses for TAKUSHI KOHMOTO (MD PHD)

  • 600 Highland Ave

    Madison, WI 53792

    Phone: (608) 263-1530

    Fax: (608) 265-8887

    Type: Location

  • Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263522

    Phone: (414) 955-6900

    Fax: (414) 955-6204

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $3,653.

Total Amount is formed as General ($3,653) + Research ($0) + Ownership ($0) = $3,653.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: TRANSMEDICS, INC. ($2,860).

Total Amount

$3,653

General + Research + Ownership

Payments

16

Total payment records

General Amount

$3,653

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

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: 2004-11-03

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
I20041103000746ICardiovascular Disease (Cardiology)WITBD

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 53792)

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Provider's Procedures

TAKUSHI KOHMOTO (MD PHD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYWI33518Combined multiple vein and artery heart artery bypasses1616

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: 2668384371View full group profile

Reviews

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Frequently asked questions

How is TAKUSHI KOHMOTO (MD PHD) identified in CMS data?
CMS-hosted NPPES data lists TAKUSHI KOHMOTO (MD PHD) with NPI 1013971688.
Is TAKUSHI KOHMOTO (MD PHD) still practicing?
TAKUSHI KOHMOTO (MD PHD) is currently listed as active in the public NPI registry.
What taxonomy line describes TAKUSHI KOHMOTO (MD PHD)?
For research purposes, treat TAKUSHI KOHMOTO (MD PHD) as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is TAKUSHI KOHMOTO (MD PHD) based?
TAKUSHI KOHMOTO (MD PHD) is tied to Madison, Wisconsin in the data we show; additional addresses may exist on the full record.
Is the information about TAKUSHI KOHMOTO (MD PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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