DR. GUILLERMO JAVIER TANAKA M. D. NPI 1124033055

NPI Information

  • NPI: 1124033055
  • Provider Name: DR. GUILLERMO JAVIER TANAKA, M. D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 969 LAKELAND DR
    JACKSON, MS
    ZIP 39216
  • Phone: (877) 406-2916

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NPI Details

DR. Guillermo Javier Tanaka, M. D. is a diagnostic radiology radiology in Jackson, MS with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Guillermo Javier Tanaka, M. D. NPI is 1124033055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

969 LAKELAND DR
JACKSON, MS
ZIP 39216-606
Phone: (877) 406-2916
Fax: (601) 682-7909

The NPI 1124033055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist (HCPCS:36223)
  • Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast (HCPCS:0042T)
  • Insertion of tube into brain artery for diagnosis or treatment with review by radiologist (HCPCS:36226)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance (HCPCS:61645)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Needle biopsy of liver through skin (HCPCS:47000)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Contrast injection for imaging to evaluate central venous access device (HCPCS:36598)
  • Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance (HCPCS:32557)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • Ct guidance for tissue removal (HCPCS:77013)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Ct scan of lower spine without contrast (HCPCS:72131)

The enumeration date for this NPI number is 7/29/2006 and was last updated on 11/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology16799MISSISSIPPIYes
22085R0202XRadiologyDiagnostic Radiology022779LOUISIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11861428351OTHERGROUP MEDICARE NPI
2C00475OTHERGROUP MEDICARE UPIN
300122175MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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