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

Keitaroh Takeda

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184076135

Keitaroh Takeda is an Emergency Medicine in El Paso, Texas. Qualified in 2008, 18 years ago. Practices with Guam Healthcare Development Incorporated, a 209-clinician group and accepts Medicare assignment. Licensed in Guam.

Years since qualifying
18
Licensed in
GU
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4801 Alberta Ave
El Paso, TX 79905-2707
Phone: (915) 215-4625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence M-2357 (GU)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184076135
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 1, 2016
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 2, 2023
Mailing address4801 Alberta Ave, El Paso, TX 79905-2707

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Guam Healthcare Development Incorporated — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in El Paso