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

Takeyoshi OTA

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1912167073

Takeyoshi OTA is a Cardiac Surgery in Chicago, Illinois. Qualified in 1999, 27 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2008
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
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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 036133284 (IL)

Record details

NPI number1912167073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

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

Medicare specialtyCARDIAC SURGERY
Also practisesTHORACIC SURGERY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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