Individual provider Active NPI

Frimpong Kwabena Kodua, MD

  • Internal Medicine Physician
  • Parkville, MD
National Provider Identifier
1003495987
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0102208 Issued in MD
Practice address
8901 Clement Ave
Parkville, MD 21234-2603
Phone
(410) 661-4670
Fax
(410) 661-4671
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0102208 MD Primary

Addresses

Primary practice location

8901 Clement Ave
Parkville, MD 21234-2603

Mailing address

8901 Clement Ave
Parkville, MD 21234-2603
Phone (410) 661-4670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250731004876 MD Practitioner - Internal MedicinePractitioner - General Practice 9638687700 Reassigns benefits to 2 organizations
I20250806004218 DC Practitioner - General Practice 9638687700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Howard University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Medical First PAGroup PAC ID 1850329715, 26 clinicians
University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

4011 Randolph Rd
Silver Spring, MD 20902-1054
Phone (410) 661-4670

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-4877

8901 Clement Ave
Parkville, MD 21234-2603
Phone (410) 661-4670

Hospital & facility affiliations

  • Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Holly Hill Healthcare Center Nursing home, Towson, MD, CCN 215204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0102208MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical First P.a. Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Holly Hill Nursing, LLC Past Accepting new patients

Locations

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

4011 Randolph Rd
Wheaton, MD 20902
Phone (301) 933-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1003495987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 CLEMENT AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342603",
            "telephone_number": "410-661-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CLEMENT AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342603",
            "telephone_number": "410-661-4670",
            "fax_number": "410-661-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODUA",
        "first_name": "FRIMPONG",
        "middle_name": "KWABENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0102208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.