Ikponmwosa Iyamu, M.D.
Ikponmwosa Iyamu, M.D. is a Vascular & Interventional Radiology Physician in Fort Worth, TX, registered under NPI 1679891980. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 815 PENNSYLVANIA AVE, Fort Worth, TX 76104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| P5821 | TX | Vascular & Interventional Radiology… primary |
| P5821 | TX | Diagnostic Radiology Physician |
This provider holds licence P5821 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Interventional Radiology
- PAC ID
- 6002100625
Medicare enrolment is recorded as approved under the provider type Practitioner - Interventional Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Vascular & Interventional Radiology covers
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. NUCC Health Care Provider Taxonomy, code 2085R0204X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | P5821 | TX | primary |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | P5821 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1679891980 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 11, 2010 |
| Last updated | Dec 18, 2023 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D. |
| Practice address |
815 PENNSYLVANIA AVE Fort Worth, TX 76104 (817) 321-0404 |
| Mailing address |
816 W CANNON ST Fort Worth, TX 76104 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 8 | 9 | 1 | 9 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 7 | 9 | 2 | 9 | 7 |
Sum = 80 · next multiple of 10 = 80 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.