| Dr Takehisa Ikeda, MD | |
|
1140 Business Center Dr Ste 300, Houston, TX 77043-2742 | |
| (713) 464-9774 | |
| (713) 464-9771 |
| Full Name | Dr Takehisa Ikeda |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 1140 Business Center Dr Ste 300, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326203266 | NPI | - | NPPES |
| 205456101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | N0117 (Texas) | Secondary |
| 208M00000X | Hospitalist | N0117 (Texas) | Secondary |
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | N0117 (Texas) | Primary |
| Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Takehisa Ikeda, MD Po Box 3278, Pearland, TX 77588-3278 Ph: (713) 464-9776 | Dr Takehisa Ikeda, MD 1140 Business Center Dr Ste 300, Houston, TX 77043-2742 Ph: (713) 464-9774 |
Sonia Ann Monteiro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Meenakshi G Hegde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Rebecca Jean Chancey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6621a Fannin St., Houston, TX 77030 Phone: 713-770-5454 | |
Lisa R Lapeze, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18338 Kingsland Blvd, Suite 210, Houston, TX 77094 Phone: 281-599-7334 Fax: 281-599-7040 | |
Elvis Aaron Cavazos, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14730 Barryknoll Ln, Houston, TX 77079 Phone: 281-496-9700 Fax: 281-496-7821 | |
Marlene D. Typaldos Sanchez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6701 Fannin St Ste 1040, Houston, TX 77030 Phone: 832-822-3309 Fax: 832-825-3308 | |
Zachary Foughty, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1173 |