Active NPI
Kyrene Internal Medicine PLLC
- Primary Care Clinic/Center
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- KYRENE INTERNAL MEDICINE PLLC
- Practice address
- 4545 E Chandler Blvd
Suite 201
Phoenix, AZ 85048-7643 - Phone
- (480) 598-4145
- Fax
- (480) 598-4346
- NPI assigned
- Jul 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Oppong-Takyi
- Title
- Physician
- Phone
- (480) 598-4145
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
4545 E Chandler Blvd
Suite 201
Phoenix, AZ 85048-7643
Mailing address
4545 E Chandler Blvd
Suite 201
Phoenix, AZ 85048-7643
Phone (480) 598-4145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1081904 | Kyrene Internal Medicine PLLC | Certificate of waiver | Mar 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
4545 E Chandler Blvd
Ste 201
Phoenix, AZ 85048
Phone (480) 596-4145
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1497770465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1750678355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 E CHANDLER BLVD",
"address_2": "SUITE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487643",
"telephone_number": "480-598-4145",
"fax_number": "480-598-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 E CHANDLER BLVD",
"address_2": "SUITE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487643",
"telephone_number": "480-598-4145",
"fax_number": "480-598-4346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYRENE INTERNAL MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-01",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "OPPONG-TAKYI",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "480-598-4145",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.