Anthony Isitor Iyamah, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1099820 Issued in TX

Practice address

6363 N State Highway 161 Ste 100
Irving, TX 75038-2239

Phone

(469) 200-3272

NPI assigned

Dec 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anthony.iyamah.1@22854.direct.athenahealth.com
• Direct secure messaging: aiyamah@landmarkhealth-direct.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• US Universal Health Care Services LLC

  • Home Health Agency
  • Duncanville, TX
  • NPI 1710215694

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monogram Health Professional Services of Texas PLLC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1396481255

  Family, TX

  Medicare reassignment NPD
• US Universal Health Care Services LLC

  • Home Health Agency
  • Duncanville, TX
  • NPI 1710215694
  NPD

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1992416978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7264 BUCANERO",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750545533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 N STATE HIGHWAY 161 STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382239",
            "telephone_number": "469-200-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYAMAH",
        "first_name": "ANTHONY",
        "middle_name": "ISITOR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismile Family Dental PA
• Robert Warren Israel Jr., M.D.
• Mayela Figueroa Isufi, COTA
• Ivfmd, PA
• Ivy Medical Care
• Chandramouli Pattabiraman Iyer
• Radhika Iyer, D.M.D.
• J Yip DMD PLLC
• J-S Irving Operations, LP
• J&M Optics LLC

• Family Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.