Dr Ken Takesita, MD - Medicare Urology in Riverside, CA

Dr Ken Takesita, MD is a medicare enrolled "Urology" physician in Riverside, California. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Urology. His current practice location is 4500 Brockton Ave Ste 301, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 276-4505.

Dr Ken Takesita is licensed to practice in California (license number A84860) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629243837.

Contact Information

Dr Ken Takesita, MD
4500 Brockton Ave Ste 301,
Riverside, CA 92501-4027
(951) 276-4505
Not Available

Map and Direction




Physician's Profile

Full NameDr Ken Takesita
GenderMale
SpecialityUrology
Experience22 Years
Location4500 Brockton Ave Ste 301, Riverside, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ken Takesita graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1629243837
  • Provider Enumeration Date: 04/29/2008
  • Last Update Date: 09/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0547338923
  • Enrollment ID: I20081013000329

Medical Identifiers

Medical identifiers for Dr Ken Takesita such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629243837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology A84860 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ken Takesita allows following entities to bill medicare on his behalf.
Entity NameUrology Center Of So Calif Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750604948
PECOS PAC ID: 6406745439
Enrollment ID: O20040315001245
Entity NameMission Urology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063874337
PECOS PAC ID: 2466751888
Enrollment ID: O20160505001643

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ken Takesita is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ken Takesita, MD
4500 Brockton Ave Ste 301,
Riverside, CA 92501-4027

Ph: (626) 396-1105
Dr Ken Takesita, MD
4500 Brockton Ave Ste 301,
Riverside, CA 92501-4027

Ph: (951) 276-4505

Reviews and Comments


Urology Doctors in Riverside, CA

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Benjamin Kattle Yang, M.D.
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Practice Location: 7117 Brockton Ave., Riverside, CA 92506
Phone: 951-782-3696    Fax: 951-784-3264

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.