Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. IDUAMA KELLY-DOKUBO M.D.
NPI 1376503144
Internal Medicine - Cardiovascular Disease in Pasadena, CA

Q: What is Iduama Kelly-dokubo's NPI number?

The NPI number for Iduama Kelly-dokubo is 1376503144. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Iduama Kelly-dokubo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since March 24, 2006PECOS Enrolled

10.26/100

CMS Quality Rating

2750 E WASHINGTON BLVD, SUITE #370, PASADENA, CA 91107(626) 296-0792 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Iduama Kelly-dokubo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IDUAMA KELLY-DOKUBO M.D. (NPI 1376503144) is an individual cardiovascular disease provider in Pasadena, California, licensed in California (G51025) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1981).

NPPES Registry Identity

NPI1376503144

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. IDUAMA KELLY-DOKUBOCredential: M.D.

Location Address2750 E WASHINGTON BLVD, SUITE #370Pasadena, CA 91107-1448

Mailing AddressPo Box 50082Pasadena, CA 91115-0082 · (626) 296-0792

Phone(626) 296-0792

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1981

Enumeration DateMarch 24, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1376503144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · G51025

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2750 E WASHINGTON BLVD, Pasadena, CA 91107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Iduama Kelly-dokubo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193619849

PECOS Enrollment IDI20090808000008

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

617 services463 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

512 services77 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

278 services258 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

264 services116 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

179 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

173 services89 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

115 services87 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

59 services54 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

46 services44 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

16 services15 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

16 services15 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

14 services11 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

13 services11 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

10.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

34.23

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$14.26 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$64.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AURELIE ANNE MARIE ZEPHIR

Marriage & Family Therapist

2750 E WASHINGTON BLVD
PASADENA, CA 91107

Los Angeles County (626) 296-8900

D'VEAL FAMILY & YOUTH SERVICES

Community/Behavioral Health

2750 E WASHINGTON BLVD, SUITE 230, 240, 250, 260
PASADENA, CA 91107

Los Angeles County (626) 296-8900

JASON K BOUTROS M D INC

Internal Medicine

2750 E WASHINGTON BLVD, SUITE 260
PASADENA, CA 91107

Los Angeles County (626) 798-8923

CLIFTON A MAYBERRY MD

Specialist

2750 E WASHINGTON BLVD, STE 330
PASADENA, CA 91107

Los Angeles County (626) 797-9883

ALEXIS CHRISTINE HERNANDEZ

Social Worker (Clinical)

2750 E WASHINGTON BLVD
PASADENA, CA 91107

Los Angeles County (626) 296-8900

MRS. EVONNE R MEZA IMF

Marriage & Family Therapist

2750 E WASHINGTON BLVD
PASADENA, CA 91107

Los Angeles County (626) 296-8900

ALVARO REYNALDO COTA

Student in an Organized Health Care Education/Training Program

2750 E WASHINGTON BLVD
PASADENA, CA 91107

Los Angeles County (626) 296-8900

JOCELYN CANALES

Student in an Organized Health Care Education/Training Program

2750 E WASHINGTON BLVD
PASADENA, CA 91107

Los Angeles County (626) 296-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iduama Kelly-dokubo's NPI number?

The NPI number for Iduama Kelly-dokubo is 1376503144. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Iduama Kelly-dokubo located?

Iduama Kelly-dokubo practices at 2750 E Washington Blvd Suite #370, Pasadena, CA 91107. The listed phone number is (626) 296-0792.

What is Iduama Kelly-dokubo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Iduama Kelly-dokubo enrolled in Medicare?

Yes. Iduama Kelly-dokubo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Iduama Kelly-dokubo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.