Individual provider Active NPI

Nana Yaw Asamoah-Mensah, M.D.

  • Neurology Physician
  • Washington, DC
National Provider Identifier
1023103587
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD035224 Issued in DC
Practice address
1140 Varnum St NE
Suite 205
Washington, DC 20017-2153
Phone
(202) 269-0499
Fax
(202) 269-0855
NPI assigned
Oct 3, 2006
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD035224 DC Primary

Addresses

Primary practice location

1140 Varnum St NE
Suite 205
Washington, DC 20017-2153

Mailing address

12601 Bridoon Lane
Reston, VA 20191-5828
Phone (703) 587-5048

Other identifiers 1

IdentifierTypeStateIssuer
036318200MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000712 DC Practitioner - Neurology 3476503558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 Varnum St NE
Suite 205
Washington, DC 20017-2153
Phone (202) 269-0499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nana Yaw Asamoah-Mensah, M.D.,P.C. Neurology CurrentSince Jul 13, 2010 Accepting new patients
Nana Yaw Asamoah- Mensah, M.D.,LLC Neurology Past Accepting new patients
Peterson Neurology PC Neurology PastSince Dec 1, 2004 Accepting new patients

Locations

1140 Varnum St NE
Ste 205
Washington, DC 20017
Phone (202) 269-0499

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1023103587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 BRIDOON LANE",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915828",
            "telephone_number": "703-587-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE",
            "address_2": "SUITE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172153",
            "telephone_number": "202-269-0499",
            "fax_number": "202-269-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAMOAH-MENSAH",
        "first_name": "NANA",
        "middle_name": "YAW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD035224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036318200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.