Individual provider Active NPI

John Kwesi Nyamekye, PA-C

  • Physician Assistant
  • Bowie, MD
National Provider Identifier
1043098957
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009100 Issued in MD
Practice address
15459 Annapolis Rd
Bowie, MD 20715-1847
Phone
(240) 544-0676
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0009100 MD Primary

Addresses

Primary practice location

15459 Annapolis Rd
Bowie, MD 20715-1847

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Other practice location 1

7819 Foxfarm Ln
Glen Burnie, MD 21061-6322
Phone (301) 905-2217

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231215000123 MD Practitioner - Physician Assistant 8123477148 Reassigns benefits to 3 organizations
I20240731004869 DC Practitioner - Physician Assistant 8123477148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

15459 Annapolis Rd
Bowie, MD 20715-1847
Phone (240) 544-0676

2051 W St
Annapolis, MD 21401-3006
Phone (443) 603-0758

7116 Ritchie Hwy
Glen Burnie, MD 21061-2904
Phone (443) 577-0277

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

8105 Ritchie Hwy
Pasadena, MD 21122-3905
Phone (443) 573-0564

9000 Woodyard Rd
Clinton, MD 20735-4206
Phone (240) 546-3428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0009100MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince May 16, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Nov 28, 2023 Accepting new patients
Umms Ambulatory Care LLC CurrentSince May 16, 2024 Accepting new patients
Patient First Maryland Medical Group, PLLC CurrentSince Jun 18, 2024 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Jun 18, 2024 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Jun 18, 2024 Accepting new patients

Locations

15459 Annapolis Rd
Bowie, MD 20715
Phone (240) 544-0607

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1043098957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15459 ANNAPOLIS RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151847",
            "telephone_number": "240-544-0676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7819 Foxfarm Ln",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210616322",
            "country_code": "US",
            "telephone_number": "301-905-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYAMEKYE",
        "first_name": "JOHN",
        "middle_name": "KWESI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15459 Annapolis Rd",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207151847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.