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

Kenji Minakata, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1215241062

Kenji Minakata, MD is a Thoracic Surgery in Philadelphia, Pennsylvania. Qualified in 1994, 32 years ago. Practices with Cooper Surgical Associates, PA, a 306-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
32
Licensed in
PA
In the registry since
2010
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

3509 N Broad St
Philadelphia, PA 19140-4105
Phone: (215) 707-8484
Fax: (215) 707-3946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence MD440387 (PA)

Record details

NPI number1215241062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2010
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Cooper Surgical Associates, Pa — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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