Kenneth Iyamu, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0090707 Issued in FL

Practice address

1700 N McMullen Booth Rd
D1
Clearwater, FL 33759-2130

Phone

(727) 669-3800

Fax

(727) 669-5600

NPI assigned

Sep 16, 2006

Last updated

Sep 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inpatient Consultants of Florida, IncGroup PAC ID 4789614785, 158 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Florida Inc

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1457511164

  Internal Medicine

  NPD
• Inpatient Consultants of Florida, Inc

  • Hospitalist Physician
  • Clearwater, FL
  • NPI 1811179831

  Internal Medicine

  NPD
• Cypress Health Systems Florida Inc.

  dba Tri County Hospital - Williston

  • Medicare Defined Swing Bed Hospital Unit
  • Williston, FL
  • NPI 1841481116
  NPD (past)
• Inpatient Consultants of Florida, Inc

  dba Ipc of Florida

  • Hospitalist Physician
  • Clearwater, FL
  • NPI 1679845374

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marion Community Hospital, Inc.

  dba HCA Florida Ocala Hospital

  • General Acute Care Hospital
  • Ocala, FL
  • NPI 1841237930
  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  dba UF Health Spanish Plaines Hospital

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1922104835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD",
            "address_2": "D1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592130",
            "telephone_number": "727-669-3800",
            "fax_number": "727-669-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD",
            "address_2": "D1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592130",
            "telephone_number": "727-669-3800",
            "fax_number": "727-669-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYAMU",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0090707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271917700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ism-Heritage House Alf, LLC (Heritage House)
• Candice D'Nay Isom
• Natalya Ivanova
• Courtney Iverson, PA-C
• Martin P. Iwanowski, DO
• J & J Franchise Inc. (Amada Senior Care Clearwater)
• J & N Pharmacy Corp
• J Timothy Doerner Dda PA
• J. Carson Woolwine O.D. PLLC.
• J. Paonessa M.D. P.a. (Gulfcoast Oncology Associates)

• Internal Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.

Verify at the official NPI Registry.