KYRENE INTERNAL MEDICINE PLLC
NPI 1750678355
Clinic/Center - Primary Care in Phoenix, AZ
About Kyrene Internal Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYRENE INTERNAL MEDICINE PLLC (NPI 1750678355) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since July 2011. The organization lists Frank Oppong-takyi, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyrene Internal Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kyrene Internal Medicine PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kyrene Internal Medicine PLLC's NPI number?
The NPI number for Kyrene Internal Medicine PLLC is 1750678355. It was assigned to this organization in the NPPES registry on July 1, 2011.
Where is Kyrene Internal Medicine PLLC located?
Kyrene Internal Medicine PLLC is located at 4545 E Chandler Blvd Suite 201, Phoenix, AZ 85048. The listed phone number is (480) 598-4145.
What is Kyrene Internal Medicine PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Kyrene Internal Medicine PLLC enrolled in Medicare?
Yes. Kyrene Internal Medicine PLLC is registered in the Medicare PECOS enrollment system.
When is Kyrene Internal Medicine PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kyrene Internal Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kyrene Internal Medicine PLLC. 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.
What insurance does Kyrene Internal Medicine PLLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Kyrene Internal Medicine PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kyrene Internal Medicine PLLC was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kyrene Internal Medicine Pllc · NPI 1750678355
Primary Care organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since July 1, 2011.
## Identity
- **NPI:** 1750678355 (Entity type: Organization)
- **Enumerated:** July 1, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Frank Oppong-Takyi, PHYSICIAN
## Practice location
- **Address:** 4545 E CHANDLER BLVD, SUITE 201, Phoenix, AZ 85048-7643
- **Phone:** (480) 598-4145 · **Fax:** (480) 598-4346
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1750678355) · Data from the CMS NPPES public registry.