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

Thomas Ryu Maehara

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629571666

Thomas Ryu Maehara is an Emergency Medicine in Kalamazoo, Michigan. Qualified in 2020, 6 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
6
Licensed in
MI, WA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone: (269) 337-4400
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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 OP61426742 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5151014596 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629571666
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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