Ilan Kedan, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A93684 Issued in CA

Practice address

99 N la Cienega Blvd Ste 303
Beverly Hills, CA 90211-2283

Phone

(310) 307-5555

Fax

(424) 249-3103

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 15, 2024 through Mar 15, 2028

Merit-based Incentive Payment System (MIPS)

Final score

89.14 of 100Reported as group

Quality

84.79

Promoting interoperability

99

Improvement activities

40

Cost

73.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ikedan103044@direct.cshs.org

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.

• Jay S. Rudin, M.D., Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1174721369

  Single Specialty

  NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1689629057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112283",
            "telephone_number": "310-307-5555",
            "fax_number": "424-249-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112283",
            "telephone_number": "310-307-5555",
            "fax_number": "424-249-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDAN",
        "first_name": "ILAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A93684",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD034206",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A93684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035716400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404855500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARDIOLOGY",
            "identifier": "1689629057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Kaymen, M.D.
• Narine Kazarian, FNP
• KB Management Ca LLC (KB Aesthetics)
• Jason V Kboudi, D.D.S.
• Simone Kboudi, MA, LPC
• Ismail Ebrahim Keekeebhai
• David S Keen, D.D.S., M.S.
• Keihani Dental Corporation
• Keith L Klein MD Facp Fasn Inc
• Keivan Golchini, MD Inc.

• Interventional Cardiology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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; Opt Out Affidavits.
• 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.