Individual provider Active NPI

Amma Agyemang, M.D., PH.D

  • Gynecologic Oncology Physician
  • Metairie, LA
National Provider Identifier
1043604283
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
341123 Issued in LA
Practice address
3601 Houma Blvd Ste 203
Metairie, LA 70006-4301
Phone
(504) 412-1650
Fax
(504) 412-1660
NPI assigned
Mar 25, 2015
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gynecologic Oncology Physician 207VX0201X 341123 LA Primary

Addresses

Primary practice location

3601 Houma Blvd Ste 203
Metairie, LA 70006-4301

Mailing address

21 Tivoli Lake CT
Silver Spring, MD 20906-5905
Phone (617) 869-6274

Other practice location 1

85 E Concord St
6TH Floor
Boston, MA 02118-2335
Phone (617) 414-5166

Other practice location 2

2021 Perdido St
New Orleans, LA 70112-1352
Phone (504) 568-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240716002688 LA Practitioner - Gynecological Oncology 5698089449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Harvard Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
81.06
Promoting interoperability
100
Improvement activities
40
Cost
71.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341123LAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2024 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2024 Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou CurrentSince Jul 6, 2024 Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. Past Accepting new patients

Locations

3601 Houma Blvd
Ste 203
Metairie, LA 70006
Phone (504) 412-1650

3601 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 459-3513

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Networks

  • LA PPO C-SNP

Organizations & group practices 5

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 1

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1043604283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TIVOLI LAKE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065905",
            "telephone_number": "617-869-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HOUMA BLVD STE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064301",
            "telephone_number": "504-412-1650",
            "fax_number": "504-412-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 E Concord St",
            "address_2": "6TH FLOOR",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182335",
            "country_code": "US",
            "telephone_number": "617-414-5166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Perdido St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701121352",
            "country_code": "US",
            "telephone_number": "504-568-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGYEMANG",
        "first_name": "AMMA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "LA",
            "license": "341123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.