Individual provider Active NPI

Kwaku A Osafo-Mensah, MD

  • Pulmonary Disease Physician
  • Fort Worth, TX
National Provider Identifier
1053313882
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
L9835 Issued in TX
Practice address
2550 River Park Dr
Suite 100
Fort Worth, TX 76116-0921
Phone
(817) 348-9015
Fax
(817) 348-9017
NPI assigned
Aug 11, 2005
Last updated
Feb 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X L9835 TX
Pulmonary Disease Physician 207RP1001X L9835 TX Primary

Addresses

Primary practice location

2550 River Park Dr
Suite 100
Fort Worth, TX 76116-0921

Mailing address

2550 River Park PLZ
Suite 100
Fort Worth, TX 76116-0920
Phone (817) 348-9015

Other identifiers 1

IdentifierTypeStateIssuer
173863501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050602001217 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 0749183580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Stanford University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2550 River Park PLZ
Suite 100
Fort Worth, TX 76116-0921
Phone (817) 348-9015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
K. Osafo, MD, PA Pulmonary Disease CurrentSince Apr 1, 2005 Accepting new patients
Optumcare New Mexico LLC Past Accepting new patients

Locations

2550 River Park Plz
Ste 100
Fort Worth, TX 76116
Phone (817) 336-8773

Interoperability endpoints

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

Organizations & group practices 2

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 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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1053313882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 RIVER PARK PLZ",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160920",
            "telephone_number": "817-348-9015",
            "fax_number": "817-348-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 RIVER PARK DR",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160921",
            "telephone_number": "817-348-9015",
            "fax_number": "817-348-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAFO-MENSAH",
        "first_name": "KWAKU",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L9835",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L9835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173863501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.