Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ichiro Ikuta, MD, MMSC

Individual provider Diagnostic Radiology Physician · NPI 1275769028

Dr. Ichiro Ikuta, MD, MMSC is a Diagnostic Radiology in Scottsdale, Arizona. Qualified in 2009, 17 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Connecticut.

Years since qualifying
17
Licensed in
AZ, CT
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20 York St, New Haven, CT 06510-3220 — (203) 785-5253
  • 1 Atwell Rd, Cooperstown, NY 13326-1301 — (607) 547-3456

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 54778 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 057032 (CT)

Record details

NPI number1275769028
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MMSC
Sole proprietorNo
NPI enumeratedJune 8, 2009
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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