Individual ProviderKenji OkumuraSurgeryAllopathic & Osteopathic PhysiciansPractice Address100 Woods Rd, Valhalla, NY 10595-1530(914) 493-7000(914) 493-8099PECOS EnrollmentBased on the most recent information from CMS, provider Kenji Okumura is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1023460953Provider TypeIndividualFull NameOkumura, KenjiCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/2/2016Last Updated6/27/2024Contact InformationPractice LocationPractice Address100 Woods Rd, Valhalla, NY 10595-1530Phone(914) 493-7000FaxUnlisted FaxMailing LocationMailing Address100 Woods Rd Dept Of, Valhalla, NY 10595-1530Phone(914) 493-8099FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense313638New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer