Individual provider Active NPI

Asante Kofi Mendes, M.D.

  • Psychiatry Physician
  • Farmington, CT
National Provider Identifier
1114109212
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
046042 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-0001
Phone
(860) 679-2000
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 046042 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-0001

Mailing address

152 Simsbury Rd
BLDG 9; 2ND FL
Avon, CT 06001-3777
Phone (860) 269-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20080129000474 CT Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 2961584008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Tufts University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

1 Glen Hill Rd
Danbury, CT 06811-4921
Phone (718) 298-4375

136 Simsbury Rd
12H
Avon, CT 06001-3760
Phone (860) 269-3101

Merit-based Incentive Payment System (MIPS)

Final score
87.14 of 100Reported as group
Quality
71.85
Improvement activities
40
Cost
75.41

Merit-based Incentive Payment System (MIPS)

Final score
22.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046042CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Behavioral Health, LLC Psychiatry CurrentSince May 28, 2008 Accepting new patients
Step Up Care PC LLC CurrentSince Jul 1, 2021 Accepting new patients
CPS, LLC (Consultant Psychiatric Services) Past Accepting new patients

Locations

152 Simsbury Rd
Ste 9N
Avon, CT 06001
Phone (860) 269-3101

136 Simsbury Rd
#12H
Avon, CT 06001
Phone (860) 269-3101

136 Simsbury Rd
Ste 12H
Avon, CT 06001
Phone (860) 269-3101

1 Glen Hill Rd
Danbury, CT 06811
Phone (203) 744-2840

30 Boston Rd
Middletown, CT 06457
Phone (860) 346-9299

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1114109212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SIMSBURY RD",
            "address_2": "BLDG 9; 2ND FL",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013777",
            "telephone_number": "860-269-3101",
            "fax_number": "860-269-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "ASANTE",
        "middle_name": "KOFI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "046042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.