Irene Vasily Kardashian, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME79368 Issued in FL

Practice address

14100 Fivay Rd
Suite 100
Hudson, FL 34667-7180

Phone

(727) 819-2534

Fax

(727) 819-2687

NPI assigned

Aug 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• TGH Home Care Powered by Vna Florida Home health agency, Trinity, FL, CCN 687192

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFFJBD/Endpoint/HFFJBD

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

• Irene Kardashian M.D. , P.a.

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1558503367
  Medicare reassignment NPD

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

• Visiting Nurse Community Care of the West Coast, Inc.

  • Home Health Agency
  • Tampa, FL
  • NPI 1770586257
  Care Compare affiliation

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1124011804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD",
            "address_2": "SUITE 100",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677180",
            "telephone_number": "727-819-2534",
            "fax_number": "727-819-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD",
            "address_2": "SUITE 100",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677180",
            "telephone_number": "727-819-2534",
            "fax_number": "727-819-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDASHIAN",
        "first_name": "IRENE",
        "middle_name": "VASILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262649700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "1558503367",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stavros Kalemakis, MD
• Lawrence J. Kales, DPM, PA
• Elizabeth Ann Kane, RN
• Gregory Eric Kao, DO
• George Kardashian, M.D.
• Karewego LLC
• Kart LLC.
• Lauren Ashley Karwinski, DPT
• Katz Orthopaedic Institute, LLC
• Richard Katz, MD

• Internal Medicine Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.