ANTHONY ISITOR IYAMAH NP
NPI 1992416978
Nurse Practitioner - Family in Irving, TX

Q: What is Anthony Iyamah's NPI number?

The NPI number for Anthony Iyamah is 1992416978. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Q: What is Anthony Iyamah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Iyamah was last updated on December 9, 2022. 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.

Active since December 09, 2022PECOS Enrolled

6363 N STATE HIGHWAY 161 STE 100, IRVING, TX 75038(469) 200-3272 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Anthony Isitor Iyamah Np NPPES

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

ANTHONY ISITOR IYAMAH NP (NPI 1992416978) is an individual family provider in Irving, Texas, licensed in Texas (1099820) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992416978

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameANTHONY ISITOR IYAMAHCredential: NP

Location Address6363 N STATE HIGHWAY 161 STE 100Irving, TX 75038-2239

Mailing Address7264 BucaneroGrand Prairie, TX 75054-5533

Phone(469) 200-3272

Sole ProprietorNo

Enumeration DateDecember 9, 2022

NPPES CertifiedDecember 8, 2022

✔ NPI 1992416978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1099820

6363 N STATE HIGHWAY 161 STE 100, Irving, TX 75038

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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 (PECOS)

Anthony Isitor Iyamah Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

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

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.

JILLY JOHN

Nurse Practitioner (Family)