Kenneth H. Yamamura, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

ME67414 Issued in FL

Practice address

13601 Bruce B Downs Blvd Ste 160
Tampa, FL 33613-4694

Phone

(813) 971-2424

Fax

(813) 971-2420

NPI assigned

Oct 14, 2005

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiac Electrophysiology

Education

University of Miami, LM Miller School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
• AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069
• Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1245/brand/1/csg/1/fhir/r4
• Direct secure messaging: kyamamura625879@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment Care Compare group NPD
• Interventional Cardiac Consultants PLC

  • Cardiovascular Disease Physician
  • Trinity, FL
  • NPI 1104814714
  Medicare reassignment NPD
• Trinity Cardiac Cath Lab LLC

  dba Cardiovascular Institute of Trinity

  • Interventional Cardiology Physician
  • New Port Richey, FL
  • NPI 1215316625
  Medicare reassignment NPD
• Pinellas Ekg Interpreters Inc

  • Cardiovascular Disease Physician
  • Clearwater, FL
  • NPI 1013952977
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pasco-Pinellas Hillsborough Community Health System Inc

  dba AdventHealth Wesley Chapel

  • General Acute Care Hospital
  • Wesley Chapel, FL
  • NPI 1073893020
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1053321919
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa Outreach Laboratory

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1134766694

  Hospital

  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Carrollwood

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1427068345
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1083603989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134694",
            "telephone_number": "813-971-2424",
            "fax_number": "813-971-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134694",
            "telephone_number": "813-971-2424",
            "fax_number": "813-971-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMURA",
        "first_name": "KENNETH",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME67414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2336752",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "270614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27664",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6506906001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2500783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378229800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yakc Medical Group Inc
• Bharati Devi Yalamanchili, M.D.
• Suseela Devi Yalamanchili
• Steven Raymond Yale, M.D.
• Erin Colleen Yamamoto, NP
• Halim Yammine, MD
• Jaymi Yamoah
• Kosj Yamoah, M.D. PH.D.
• Mingfei Yan
• Maria Teresa Yanda, PA

• Clinical Cardiac Electrophysiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Cardiac Electrophysiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.