Kenji Minakata, MD - Medicare Thoracic Surgery in Philadelphia, PA

Kenji Minakata, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Philadelphia, Pennsylvania. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Cooper Surgical Associates, Pa and his current practice location is 3509 N Broad St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 707-8484.

Kenji Minakata is licensed to practice in Pennsylvania (license number MD440387) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215241062.

Contact Information

Kenji Minakata, MD
3509 N Broad St,
Philadelphia, PA 19140-4105
(215) 707-8484
(215) 707-3946

Map and Direction




Physician's Profile

Full NameKenji Minakata
GenderMale
SpecialityThoracic Surgery
Experience30 Years
Location3509 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenji Minakata graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1215241062
  • Provider Enumeration Date: 08/04/2010
  • Last Update Date: 10/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8022202407
  • Enrollment ID: I20220309000307

Medical Identifiers

Medical identifiers for Kenji Minakata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215241062NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) MD440387 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cooper University HospitalCamden, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cooper Surgical Associates, Pa3274430764218

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenji Minakata allows following entities to bill medicare on his behalf.
Entity NameCooper Surgical Associates, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427177195
PECOS PAC ID: 3274430764
Enrollment ID: O20031213000037
Entity NameCmc Department Of Medicine Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386682094
PECOS PAC ID: 2163335878
Enrollment ID: O20050104000343

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenji Minakata is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenji Minakata, MD
202 Park Blvd, Apt 317,
Cherry Hill, NJ 08002-3473

Ph: (215) 707-8484
Kenji Minakata, MD
3509 N Broad St,
Philadelphia, PA 19140-4105

Ph: (215) 707-8484

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Philadelphia, PA

Kewal Krishan, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3509 N Broad St, Philadelphia, PA 19140
Phone: 215-707-8484    
Andrew S Wechsler, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 230 N Broad St, 744 N Tower, Philadelphia, PA 19102
Phone: 215-762-7802    Fax: 215-762-1858
Dr. Robert K Wenger, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 230 W Washington Sq, Philadelphia, PA 19106
Phone: 215-829-8713    Fax: 215-829-5350
Eros M Leotta, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 3509 N Broad St, Philadelphia, PA 19140
Phone: 215-707-8484    Fax: 215-707-3946
Larry Kaiser, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 3509 N Broad St, Philadelphia, PA 19140
Phone: 215-707-8484    Fax: 215-707-3946
Dr. Verdi J. Disesa, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 3509 N Broad St, Philadelphia, PA 19140
Phone: 215-707-8484    Fax: 215-707-3946
Jarrod D. Predina, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 3400 Civic Center Blvd, West Pavilion 1st Flr, Philadelphia, PA 19104
Phone: 215-615-5864    Fax: 215-349-8432

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.