Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenji Ikemura, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1457857617

Kenji Ikemura, MD is a Pathology in New York, New York. Qualified in 2018, 8 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 York Ave
New York, NY 10065-4805
Phone: (949) 370-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Informatics (Pathology) Physician (primary) Taxonomy 207ZC0008X · Licence 314673-01 (NY)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 314673-01 (NY)

Record details

NPI number1457857617
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2018
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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