Individual provider Active NPI

Kenneth Tsu-Ching Yen, MD

  • Pulmonary Disease Physician
  • Largo, FL
National Provider Identifier
1871533893
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME76921 Issued in FL
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2345576OtherFLCIGNA
44960OtherFLBCBS OF FLORIDA
1858625OtherFLUNITED
O00897233OtherFLRAILROAD MEDICARE
7696904OtherFLAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001474 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 1759374663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

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

LicenseStateTypeSpecialty
ME76921FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intensivist Medicine Services of FL, LLC Critical Care Medicine CurrentSince Oct 20, 2025 Accepting new patients
Intensive Care Consortium Inc Critical Care Medicine CurrentSince May 30, 2018 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.