NPI age
20 years
Enumerated 2005-10-10
● Active
Type 1 · Individual
Theodore Sunao Takata, MD
Takata is 1 of 15 internal medicine providers in Fort Worth and 1 of 309 in Texas.
Primary specialty
Internal Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-08-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 309 active internal medicine providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
0
72% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
1300 W Terrell Ave, #500
Fort Worth, TX 761042800
Mailing address
1300 W Terrell Ave, #500
Fort Worth, TX 761042800
Specialties
-
Internal Medicine PrimaryA field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 039267205 | |
| 05 (TX) | 039267203 | |
| 01 (TX) | P00226814 | RAIL ROAD MEDICARE |
| 01 (TX) | 8M6142 | BLUE CROSS |
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.