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

Kosuke Ken Iwaki, MD

Individual provider Internal Medicine Physician · NPI 1386091585

Kosuke Ken Iwaki, MD is an Internal Medicine in Fresno, California. Qualified in 2015, 11 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 324-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
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

1303 E Herndon Ave
Fresno, CA 93720
Phone: (559) 450-5611
Fax: (559) 450-7470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1303 E Herndon Ave, Fresno, CA 93720 — (559) 450-5611
  • 410 Woodward Ave Apt 1l, Ridgewood, NY 11385-1540 — (917) 769-4447

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A162107 (CA)

Record details

NPI number1386091585
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2016
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019
Mailing address1303 E Herndon Ave, Fresno, CA 93720-3309

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 324 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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