Organization Active NPI

Yamani MD LLC

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1700652799
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
YAMANI MD LLC
Practice address
1745 S Highland Ave
Clearwater, FL 33756-1852
Phone
(727) 587-0377
Fax
(727) 587-0527
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Karen P Hayes
Title
Cfo
Phone
(352) 799-0046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1745 S Highland Ave
Clearwater, FL 33756-1852

Mailing address

14690 Spring Hill Dr Ste 101
Spring Hill, FL 34609-8102
Phone (352) 799-0046

Other practice location 1

1115 Florida Ave
Palm Harbor, FL 34683-4312
Phone (727) 259-2300

Other practice location 2

8900 Park Blvd
Seminole, FL 33777-4119
Phone (727) 587-0377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240202002639 FL Part B Supplier - Clinic/Group Practice 1557704848 Receives reassigned benefits from 4 practitioners
Practice locations: Clearwater, FL; Palm Harbor, FL; Seminole, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0984587Mohammad Ilyas Yamani MD PA1745 S Highland Ave, Clearwater, FL 33756Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Locations

8900 Park Blvd
Seminole, FL 33777
Phone (727) 545-4545

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1700652799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR STE 101",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-799-0046",
            "fax_number": "352-799-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561852",
            "telephone_number": "727-587-0377",
            "fax_number": "727-587-0527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346834312",
            "country_code": "US",
            "telephone_number": "727-259-2300",
            "fax_number": "727-259-2305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337774119",
            "country_code": "US",
            "telephone_number": "727-587-0377",
            "fax_number": "727-587-0527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YAMANI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-799-0046"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.