NPIMap

Individual provider Active NPI

Daniel Amoah, MD

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1063612927
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME98876 Issued in FL
Practice address
1220 59TH St W
Bradenton, FL 34209-4154
Phone
(941) 238-9900
Fax
(941) 238-9770
NPI assigned
Jul 19, 2007
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME98876 FL Primary

Addresses

Primary practice location

1220 59TH St W
Bradenton, FL 34209-4154

Mailing address

PO Box 20185
Bradenton, FL 34204-0185
Phone (941) 238-9900

Other identifiers 3

IdentifierTypeStateIssuer
06332OtherFLBCBS
P00440473OtherFLRAILROAD MEDICARE
279495100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070904000466 FL Practitioner - Family Practice 9931292117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Universal Wellness Group, PAGroup PAC ID 1052679628, 2 clinicians

Practice addresses (Care Compare)

1220 59TH St W
Bradenton, FL 34209-4154
Phone (941) 238-9900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Wellness Group, PA Family Medicine CurrentSince Jan 13, 2017 Accepting new patients
Delta Medical Associates, LLC CurrentSince Jun 23, 2018 Accepting new patients
Pinnacle Medical Group PA Family Medicine Past Accepting new patients
Pinnacle Physician Network, LLC Family Medicine Past Accepting new patients

Locations

1220 59th St W
Bradenton, FL 34209
Phone (941) 238-9900

2902 59th St W
Ste C
Bradenton, FL 34209
Phone (941) 792-1430

1600 Center Rd
Venice, FL 34292
Phone (941) 217-7193

Interoperability endpoints

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

Organizations & group practices 4

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1063612927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20185",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342040185",
            "telephone_number": "941-238-9900",
            "fax_number": "941-238-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094154",
            "telephone_number": "941-238-9900",
            "fax_number": "941-238-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOAH",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06332",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00440473",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279495100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.