DR. IRENE VASILY KARDASHIAN (M.D.) – Internal Medicine Physician, NPI 1124011804

DR. IRENE VASILY KARDASHIAN (M.D.) is a healthcare provider. based in Hudson, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME79368 (FL). The NPI Number for DR. IRENE VASILY KARDASHIAN (M.D.) is 1124011804

Main info

Female
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. IRENE VASILY KARDASHIAN (M.D.)
NPI
1124011804
Phone
(727) 819-2534
Address
14100 FIVAY RD
Enumeration Date
26 August 2005
Last Update Date
9 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
5395894356
Professional Enrollment ID
I20090521000301
Address ID
FL346677180HU14100RDXX333
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. IRENE VASILY KARDASHIAN (M.D.)

  • 14100, Fivay Road, Hudson, Pasco County, Florida, 34667, United States

    SUITE 100

    HUDSON, FL 346677180

    Phone: (727) 819-2534

    Fax: (727) 819-2687

    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: 2009-05-21

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
I20090521000301IInternal MedicineFLTBD

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 minutes425222$0
99213Established patient office or other outpatient visit, 20-29 minutes323210$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit207207$0
99495Transitional care management services for problem of at least moderate complexity10174$0
G0008Administration of influenza virus vaccine6867$0
View full utilization report →

Insurance plans in this area (ZIP 34667)

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Reviews

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Frequently asked questions

What number should I use to identify DR. IRENE VASILY KARDASHIAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1124011804 for DR. IRENE VASILY KARDASHIAN (M.D.).
Does the public listing show DR. IRENE VASILY KARDASHIAN (M.D.) as active?
DR. IRENE VASILY KARDASHIAN (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. IRENE VASILY KARDASHIAN (M.D.) does?
Insurance directories may phrase it differently, but here DR. IRENE VASILY KARDASHIAN (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. IRENE VASILY KARDASHIAN (M.D.) in Hudson, Florida?
For routing, start with Hudson, Florida for DR. IRENE VASILY KARDASHIAN (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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