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

Dr. Takahisa Mikami, MD

Individual provider Neurology Physician · NPI 1699327007

Dr. Takahisa Mikami, MD is a Neurology in Boston, Massachusetts. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2019
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

55 Fruit St
Boston, MA 02114-2696
Phone: (855) 644-6387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5500

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 1013130 (MA)

Record details

NPI number1699327007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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