Individual provider Active NPI

Gifty Yeboah

  • Primary Care Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1073059309
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R198223 Issued in MD
Practice address
700 Montclaire Ave
Frederick, MD 21701-4577
Phone
(240) 801-2860
Fax
(301) 662-6943
NPI assigned
Jan 10, 2017
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R198223 MD Primary
Registered Nurse 163W00000X R198223 MD

Addresses

Primary practice location

700 Montclaire Ave
Frederick, MD 21701-4577

Mailing address

9428 Singleton PL
Frederick, MD 21704-7838
Phone (240) 801-2860

Other names 1

  • Gifty Ofori-Atta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20170620001490 DC Practitioner - Nurse Practitioner 3577831353 Reassigns benefits to 1 organization
I20191021002723 MD Practitioner - Nurse Practitioner 3577831353 Reassigns benefits to 1 organization
Practice locations: Frederick, MD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

187 Thomas Johnson Dr
Frederick, MD 21702-4503

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R198223MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Jun 1, 2018 Accepting new patients
Sky Health CurrentSince Mar 24, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Jun 1, 2018 Accepting new patients
Montclaire Medical Practice LLC PastSince Nov 7, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Organizations & group practices 6

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1073059309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9428 SINGLETON PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047838",
            "telephone_number": "240-801-2860",
            "fax_number": "301-662-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MONTCLAIRE AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014577",
            "telephone_number": "240-801-2860",
            "fax_number": "301-662-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEBOAH",
        "first_name": "GIFTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R198223",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R198223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIFTY",
            "last_name": "OFORI-ATTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.