Individual provider Active NPI

Kehinde A Layeni, M.D.

  • Specialist
  • Tavares, FL
National Provider Identifier
1306832456
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0062765 Issued in FL
Practice address
1691 Mayo Dr
Tavares, FL 32778-4301
Phone
(352) 253-0003
Fax
(352) 253-0016
NPI assigned
Sep 23, 2005
Reactivated
Apr 13, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0062765 FL Primary

Addresses

Primary practice location

1691 Mayo Dr
Tavares, FL 32778-4301

Mailing address

1691 Mayo Dr
Tavares, FL 32778-4301
Phone (352) 253-0003

Other identifiers 1

IdentifierTypeStateIssuer
37125400MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080517000066 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5991874844 Reassigns benefits to 1 organization
Practice locations: Tavares, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Cardiovascular Center PAGroup PAC ID 0749350148, 2 clinicians

Practice addresses (Care Compare)

1691 Mayo Dr
Tavares, FL 32778-4301
Phone (352) 253-0003

1691 Mayo Dr
Tavares, FL 32778-4307

1717 Mayo Dr
Tavares, FL 32778-4307
Phone (352) 253-0003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0062765FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Cardiovascular Imaging Center, LLC CurrentSince Mar 1, 2019 Accepting new patients
Central Florida Cardiovascular Center PA Specialist CurrentSince Jan 27, 2007 Accepting new patients
Lake Cardiology PA Past Accepting new patients

Locations

1691 Mayo Dr
Tavares, FL 32778
Phone (352) 253-0003

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kehinde.layeni@cfcardio.directbygreenway.com
  • Direct secure messaging: klayeni562636@direct.shands.ufl.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1306832456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784301",
            "telephone_number": "352-253-0003",
            "fax_number": "352-253-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784301",
            "telephone_number": "352-253-0003",
            "fax_number": "352-253-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYENI",
        "first_name": "KEHINDE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2011-09-28",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0062765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37125400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.