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IRENE KARDASHIAN M.D. , P.A.
NPI 1558503367
Internal Medicine in Hudson, FL

Active since March 26, 2009
14100 FIVAY RD, SUITE 100, HUDSON, FL 34667(727) 819-2534(727) 819-2687 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Irene Kardashian M.d. , P.a. NPPES

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

IRENE KARDASHIAN M.D. , P.A. (NPI 1558503367) is a healthcare organization registered as an internal medicine in Hudson, Florida and active in the NPI registry since March 2009. The organization lists Sharon Larsen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558503367
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIRENE KARDASHIAN M.D. , P.A.
Location Address14100 FIVAY RD, SUITE 100Hudson, FL 34667-7180
Mailing Address14100 Fivay Rd, Suite 100Hudson, FL 34667-7180 · (727) 819-2534 · Fax (727) 819-2687
Phone(727) 819-2534
Fax(727) 819-2687
Organization SubpartNo
Authorized OfficialSharon LarsenOffice Manager · (727) 819-2534
Enumeration DateMarch 26, 2009
Last NPPES UpdateJune 22, 2010
✔ NPI 1558503367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME79368
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14100 FIVAY RD, Hudson, FL 34667
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Other Identifiers 2

Other1124011804FL · Individual Npi
Medicare UPINH23488

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irene Kardashian M.d. , P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Irene Kardashian M.D. , P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Irene Kardashian, M.D.
Internal Medicine
NPI 1124011804
14100 FIVAY RD SUITE 100
Hudson, FL 34667
(727) 819-2534
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Irene Kardashian M.D. , P.A.'s NPI number?

The NPI number for Irene Kardashian M.D. , P.A. is 1558503367. It was assigned to this organization in the NPPES registry on March 26, 2009.

Where is Irene Kardashian M.D. , P.A. located?

Irene Kardashian M.D. , P.A. is located at 14100 Fivay Rd Suite 100, Hudson, FL 34667. The listed phone number is (727) 819-2534.

What is Irene Kardashian M.D. , P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Irene Kardashian M.D. , P.A. enrolled in Medicare?

Yes. Irene Kardashian M.D. , P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Irene Kardashian M.D. , P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Irene Kardashian M.D. , P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Irene Kardashian M.D. , P.A. was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.