DR. MICHIAKI IMAMURA MD PHD NPI 1215028402

NPI Information

NPI: 1215028402
Provider Name: DR. MICHIAKI IMAMURA, MD, PHD
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 6621 FANNIN STREET
WT-19345H
HOUSTON, TX
ZIP 77030
Phone: (832) 826-1929

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NPI Details

DR. Michiaki Imamura, MD, PHD is a thoracic surgery cardiothoracic vascular surgery in Houston, TX. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Michiaki Imamura, MD, PHD NPI is 1215028402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6621 FANNIN STREET
WT-19345H
HOUSTON, TX
ZIP 77030-399
Phone: (832) 826-1929
Fax: (832) 825-1904

The NPI 1215028402 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 enumeration date for this NPI number is 9/27/2006 and was last updated on 3/23/2018.

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	License Number	License State	Primary
1	208600000X	Surgery	E-3474	ARKANSAS	No
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	E-3474	ARKANSAS	No
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	45912	TEXAS	Yes

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
1	02100031400	OTHER	ARKANSAS	QUALCHOICE
2	148197001	MEDICAID	ARKANSAS

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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