KENNETH E NYMAN (M.D.) – Internal Medicine Physician, NPI 1093804304

KENNETH E NYMAN (M.D.) is a healthcare provider. based in Tarzana, California. specializing in INTERNAL MEDICINE, RHEUMATOLOGY. They hold the professional credentials M.D.. They hold a License No. G27055 (CA). The NPI Number for KENNETH E NYMAN (M.D.) is 1093804304

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH E NYMAN (M.D.)
NPI
1093804304
Phone
(818) 344-1001
Address
5525 ETIWANDA AVE
Enumeration Date
12 October 2006
Last Update Date
25 May 2010

Doctor Profile

Medical School Name
UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8183440200
Graduation Year
1969 (57 years ago)
PAC ID
2264569904
Group Practice PAC ID
7618068883
Professional Enrollment ID
I20100428000707
Address ID
CA913566124TA5525XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

21,558 INTERNAL MEDICINE in CA

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Provider Addresses for KENNETH E NYMAN (M.D.)

  • 5525, Etiwanda Avenue, Tarzana, Los Angeles, Los Angeles County, California, 91356, United States

    SUITE 222

    TARZANA, CA 913563647

    Phone: (818) 344-1001

    Fax: (818) 344-4547

    Type: Location

  • 18375, Ventura Boulevard, Tarzana Safari Walk, Tarzana, Los Angeles, Los Angeles County, California, 91356, United States

    SUITE 626

    TARZANA, CA 913564218

    Phone: (818) 908-8048

    Fax: (818) 908-8072

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $509.

Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($116).

Total Amount

$509

General + Research + Ownership

Payments

21

Total payment records

General Amount

$509

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-04-28

PECOS data refreshed: 2026-06-15

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
I20100428000707IInternal 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
99214Established patient office or other outpatient visit, 30-39 minutes394132$0
99213Established patient office or other outpatient visit, 20-29 minutes332101$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report5551$0
G0008Administration of influenza virus vaccine3434$0
90682Influenza vaccine, quadrivalent derived from recombinant dna3333$0
View full utilization report →

Insurance plans in this area (ZIP 91356)

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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: 7618068883View full group profile
NameSpecialtyState
Internal MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KENNETH E NYMAN (M.D.)?
KENNETH E NYMAN (M.D.) — NPI 1093804304 — is the standard way to identify this listing.
Can I rely on KENNETH E NYMAN (M.D.) being an active provider?
As of the registry snapshot, KENNETH E NYMAN (M.D.) is marked active.
What is KENNETH E NYMAN (M.D.)'s specialty?
The listing groups KENNETH E NYMAN (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KENNETH E NYMAN (M.D.)?
KENNETH E NYMAN (M.D.)'s geographic hint is Tarzana, California in our summary view.
Is the information about KENNETH E NYMAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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