Active NPI
Kenneth Tsu-Ching Yen, MD
- Pulmonary Disease Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME76921
- Practice address
- 11200 Seminole Blvd Ste 306
Largo, FL 33778 - Phone
- (727) 306-5700
- Fax
- (727) 306-5756
- NPI assigned
- Jun 7, 2006
- Last updated
- Sep 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME76921 | FL | |
| Internal Medicine Physician | 207R00000X | ME76921 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME76921 | FL | Primary |
Addresses
Primary practice location
11200 Seminole Blvd Ste 306
Largo, FL 33778
Mailing address
11200 Seminole Blvd Ste 306
Largo, FL 33778-3239
Phone (727) 306-5700
Other practice location 1
1301 2nd Ave SW
Largo, FL 33770-3120
Phone (727) 584-7706
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2345576 | Other | FL | CIGNA |
| 44960 | Other | FL | BCBS OF FLORIDA |
| 1858625 | Other | FL | UNITED |
| O00897233 | Other | FL | RAILROAD MEDICARE |
| 7696904 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Rutgers New Jersey Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6500 38TH Ave N
Saint Petersburg, FL 33710-1629
Phone (561) 997-0821
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME76921 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensivist Medicine Services of FL, LLC | Critical Care Medicine | Current | Accepting new patients |
| Intensive Care Consortium Inc | Critical Care Medicine | Current | Accepting new patients |
| Mayo Clinic | Past | Accepting new patients | |
| Florida Hospital Medical Group Inc | Past | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients |
Locations
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870
2901 W Swann Ave
Fl S
Tampa, FL 33609
Phone (813) 873-6400
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAHIBD/Endpoint/EAHIBD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Care Medicine (Internal Medicine) Physician
- Tampa, FL
- NPI 1235836388
-
- Multi-Specialty Clinic/Center
- Largo, FL
- NPI 1205483047
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Brandon Hospital
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
-
dba HCA Florida South Shore Hospital
- General Acute Care Hospital
- Sun City Center, FL
- NPI 1164476867
-
dba HCA Florida South Tampa Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1871533893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 SEMINOLE BLVD STE 306",
"city": "LARGO",
"state": "FL",
"postal_code": "337783239",
"telephone_number": "727-306-5700",
"fax_number": "727-306-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SEMINOLE BLVD STE 306",
"city": "LARGO",
"state": "FL",
"postal_code": "33778",
"telephone_number": "727-306-5700",
"fax_number": "727-306-5756"
}
],
"practiceLocations": [
{
"address_1": "1301 2nd Ave SW",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337703120",
"country_code": "US",
"telephone_number": "727-584-7706",
"fax_number": "727-585-4807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEN",
"first_name": "KENNETH",
"middle_name": "TSU-CHING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME76921",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME76921",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME76921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2345576",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "44960",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "1858625",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "O00897233",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7696904",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.
- 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.