Individual provider Active NPI

Roxanne D Cox-Iyamu, MD

  • Infectious Disease Physician
  • Jamaica, NY
National Provider Identifier
1326172255
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
265255-01 Issued in NY
Practice address
16121 Jamaica Ave FL 7
Jamaica, NY 11432-6113
Phone
(929) 421-4630
Fax
(347) 532-2328
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD19457 DC
Infectious Disease Physician 207RI0200X 265255-01 NY Primary

Addresses

Primary practice location

16121 Jamaica Ave FL 7
Jamaica, NY 11432-6113

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

2141 K St NW
Suite 606
Washington, DC 20037-1810
Phone (202) 293-8680

Other identifiers 2

IdentifierTypeStateIssuer
06168198MedicaidNY
4564005MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201209002308 NY Practitioner - Internal Medicine 9335285030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
81.41
Improvement activities
40
Cost
73.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265255-01NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajs Brooklyn Medical Practice PC CurrentSince Aug 20, 2020 Accepting new patients
MVP Medical Practice PC Infectious Disease CurrentSince Aug 20, 2020 Accepting new patients
Whitman-Walker Clinic Inc. Past Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896
Phone (407) 479-2013

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

475 Atlantic Ave
Ste 2
Brooklyn, NY 11217
Phone (718) 369-4850

16121 Jamaica Ave
Fl 7
Jamaica, NY 11432
Phone (718) 896-2500

30 W 60th St
Apt An
New York, NY 10023
Phone (212) 247-6575

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1326172255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16121 JAMAICA AVE FL 7",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326113",
            "telephone_number": "929-421-4630",
            "fax_number": "347-532-2328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2141 K St NW",
            "address_2": "Suite 606",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371810",
            "country_code": "US",
            "telephone_number": "202-293-8680",
            "fax_number": "202-293-8694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX-IYAMU",
        "first_name": "ROXANNE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DC",
            "license": "MD19457",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "265255-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06168198",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4564005",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.