Individual ProviderYuki IkenoThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address6400 Fannin St Ste 2850, Houston, TX 77030-1540(713) 486-5183PECOS EnrollmentBased on the most recent information from CMS, provider Yuki Ikeno 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 11:40 AM.Profile DetailsProvider ID1790471365Provider TypeIndividualFull NameIkeno, YukiGenderMaleSole ProprietorNoEnumeration Date4/17/2023Last Updated12/21/2025Contact InformationPractice LocationPractice Address6400 Fannin St Ste 2850, Houston, TX 77030-1540Phone(713) 486-5183FaxUnlisted FaxMailing LocationMailing Address2-1 Monzen, Obama, Fukui 9170237 (Japan)PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseW1172Texas