DR. IDUAMA KELLY-DOKUBO (M.D.) – Cardiovascular Disease Physician, NPI 1376503144
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA
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Provider Addresses for DR. IDUAMA KELLY-DOKUBO (M.D.)
PO BOX 50082
PASADENA, CA 911150082
Phone: (626) 296-0792
Type: Mailing
2750, East Washington Boulevard, Pasadena, Los Angeles County, California, 91107, United States
SUITE #370
PASADENA, CA 911071448
Phone: (626) 296-0792
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $3,216.
Total Amount is formed as General ($3,216) + Research ($0) + Ownership ($0) = $3,216.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Medtronic, Inc. ($2,948).
Total Amount
$3,216
General + Research + Ownership
Payments
26
Total payment records
General Amount
$3,216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090808000008 | I | Cardiovascular Disease (Cardiology) | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 295 | 277 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 247 | 44 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 216 | 105 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 185 | 153 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 158 | 80 | $0 |
Insurance plans in this area (ZIP 91115)
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