Individual provider Active NPI

Joshua Imakyure, M.D.

  • Emergency Medicine Physician
  • Hollywood, FL
National Provider Identifier
1407269145
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036141825 Issued in IL
Practice address
300 S Park Rd
Suite 400
Hollywood, FL 33021
Phone
(877) 693-5700
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q4986 TX
Emergency Medicine Physician 207P00000X 16789 NV
Emergency Medicine Physician 207P00000X 2018041166 MO
Emergency Medicine Physician 207P00000X 01081551A IN
Emergency Medicine Physician 207P00000X MD2014-0702 NM
Emergency Medicine Physician 207P00000X 036141825 IL Primary

Addresses

Primary practice location

300 S Park Rd
Suite 400
Hollywood, FL 33021

Mailing address

1492 2ND Ave
Apt. 2D
New York, NY 10075-1348
Phone (646) 926-1211

Other practice location 1

300 S Park Rd
Suite 400
Hollywood, FL 33021
Phone (877) 693-5700 ext. 3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA, IL, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20141021001944 NM Practitioner - Emergency Medicine 0446478275 Reassigns benefits to 1 organization
I20160713002516 CA Practitioner - Emergency Medicine 0446478275 Reassigns benefits to 1 organization
I20170623001191 IL Practitioner - Emergency Medicine 0446478275 Reassigns benefits to 2 organizations
I20210928003834 TX Practitioner - Emergency Medicine 0446478275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

1521 Joe Battle Blvd
Suite B
El Paso, TX 79936-0922
Phone (915) 544-1200

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140391CAMDMarriage & Family Therapist
TP969KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine CurrentSince Oct 2, 2023 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1521 Joe Battle Blvd
Ste B
El Paso, TX 79936
Phone (915) 521-7798

Interoperability endpoints

  • Direct secure messaging: jimakyure288046@ahs.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1407269145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 2ND AVE",
            "address_2": "APT. 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751348",
            "telephone_number": "646-926-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK RD",
            "address_2": "SUITE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "877-693-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Park Rd",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "33021",
            "country_code": "US",
            "telephone_number": "877-693-5700 x3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMAKYURE",
        "first_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q4986",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "16789",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2018041166",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01081551A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2014-0702",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036141825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.