Active NPI
Kofi W Nuako, M.D.
- Gastroenterology Physician
- Union City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD31272
- Practice address
- 1109 E Reelfoot Ave
Suite C
Union City, TN 38261-5856 - Phone
- (731) 884-0600
- Fax
- (731) 885-6171
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD31272 | TN | Primary |
Addresses
Primary practice location
1109 E Reelfoot Ave
Suite C
Union City, TN 38261-5856
Mailing address
1109 E Reelfoot Ave
Suite C
Union City, TN 38261-5866
Phone (731) 884-0600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148083 | Other | TN | BETTER HEALTH PLANS |
| 3723214 | Medicaid | TN | |
| 4073439 | Other | TN | BC/BS |
| 0910401 | Other | KY | ADMINISTAR |
| 64721699 | Other | KY | KENTUCKY MEDICAID |
| 28633 | Other | TN | TLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1109 E Reelfoot Ave C
Union City, TN 38261-5866
Phone (731) 884-0600
Hospital & facility affiliations
- Baptist Memorial Hospital Union City
- Volunteer Community Hospital
- Dyersburg Regional Medical Center
- Jackson-Madison County General Hospital
- Baptist Memorial Hospital - Carroll County
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 92.41
- Improvement activities
- 40
- Cost
- 72.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 626 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 511 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD31272 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union City ASC LLC | Current | Accepting new patients | |
| Kofi Nuako, MD, PC | Gastroenterology | Current | Accepting new patients |
| Kentenn Anesthesia | Past | Accepting new patients |
Locations
2000 Holiday Ln
Fulton, KY 42041
Phone (270) 472-2522
164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
1109 E Reelfoot Ave
Ste C
Union City, TN 38261
Phone (731) 884-0600
1109 E Reelfoot Ave
Union City, TN 38261
Phone (336) 821-4183
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Union City, TN
- NPI 1245276765
-
- Ambulatory Surgical Clinic/Center
- Union City, TN
- NPI 1972549491
-
- Certified Registered Nurse Anesthetist
- Union City, TN
- NPI 1346511011
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Union City, TN
- NPI 1114981768
-
- General Acute Care Hospital
- Huntingdon, TN
- NPI 1710941356
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1104813153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 E REELFOOT AVE",
"address_2": "SUITE C",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615866",
"telephone_number": "731-884-0600",
"fax_number": "731-885-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 E REELFOOT AVE",
"address_2": "SUITE C",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615856",
"telephone_number": "731-884-0600",
"fax_number": "731-885-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUAKO",
"first_name": "KOFI",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "MD31272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BETTER HEALTH PLANS",
"identifier": "148083",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3723214",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "4073439",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR",
"identifier": "0910401",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY MEDICAID",
"identifier": "64721699",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC",
"identifier": "28633",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.