Adult & Pediatric Dermatology of Tullahoma PC
NPI 1881658243ActiveOrganization· Dermatology· Tullahoma, TN
Dermatology in Tullahoma, Tennessee, registered in NPPES in April 2006. The authorized official on file is Ken T. Takegami, MD, President.
Overview
| NPI | 1881658243 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2006 |
| Last updated in NPPES | Dec 3, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | MD0000021099 | TN |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | MD0000021099 | TN |
| Dermatology, Dermatopathology | 207ND0900X | MD0000021099 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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