Israeldivine Ola Kuyinu, PHD, MHS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06693 Issued in TX

Practice address

8130 Morning Rose LN
Houston, TX 77095-4954

Phone

(346) 624-7207

NPI assigned

Mar 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

Practice roles

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.

• Ultimate Pediatric Care Inc

  • Nursing Care Agency
  • Houston, TX
  • NPI 1609050327
  NPD (past)
• Ultimate Pediatric Care, Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1932201514
  NPD (past)

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1144545435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 MORNING ROSE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770954954",
            "telephone_number": "281-830-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 MORNING ROSE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770954954",
            "telephone_number": "346-624-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYINU",
        "first_name": "ISRAELDIVINE",
        "middle_name": "OLA",
        "name_prefix": "Dr.",
        "credential": "PHD, MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06693",
            "primary": true
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06693",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA06693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12116713",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288027002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Kutsen, MD
• Jacquelin Anne Kutz
• Michael Kutzler
• Kuvala Healthcare
• Esther O Kuyinu, D.D.S.
• Kuykendahl Eye Center, Inc.
• Valerie Kuykendall-Rogers, LPC
• Melissa Kuykendall
• Patrick Donel Kuykendall
• Timothy Gerard Kuzel

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.