KENOYE R. UKU (MD) – Internal Medicine Physician, NPI 1013084920

KENOYE R. UKU (MD) is a healthcare provider. based in Los angeles, California. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. G64153 (CA). The NPI Number for KENOYE R. UKU (MD) is 1013084920

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
KENOYE R. UKU (MD)
NPI
1013084920
Phone
(323) 857-2000
Address
6041 CADILLAC AVE
Enumeration Date
29 November 2006
Last Update Date
23 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9513586000
Graduation Year
1987 (39 years ago)
PAC ID
1254462690
Group Practice PAC ID
6507754488
Professional Enrollment ID
I20100628000973
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KENOYE R. UKU (MD)

  • Kaiser Permanente West Los Angeles Medical Center, 6041, Cadillac Avenue, Mid-City, Los Angeles, Los Angeles County, California, 90034, United States

    LOS ANGELES, CA 900341702

    Phone: (323) 857-2000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100628000973IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina2222$0
View full utilization report →

Insurance plans in this area (ZIP 90034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507754488View full group profile
NameSpecialtyState
Nurse PractitionerCA
-CA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
-CA
P S Y C H I A T R YCA
Internal Medicine, Infectious DiseaseCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Does KENOYE R. UKU (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KENOYE R. UKU (MD) uses 1013084920.
Can I rely on KENOYE R. UKU (MD) being an active provider?
As of the registry snapshot, KENOYE R. UKU (MD) is marked active.
What is KENOYE R. UKU (MD)'s specialty?
The listing groups KENOYE R. UKU (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KENOYE R. UKU (MD) based?
KENOYE R. UKU (MD) is tied to Los Angeles, California in the data we show; additional addresses may exist on the full record.
Is the information about KENOYE R. UKU (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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