Kwabena Oware Adu-Gyamfi, MD
Individual provider Active NPI Gastroenterology Physician · Green Bay, WI
NPI 1154677391 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1154677391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 63234-20 (WI)
- Practice address
- 1860 Shawano Ave
Green Bay, WI 54303-2667 - Phone
- (920) 496-4700
- NPI assigned
- Jul 25, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
Practice addresses (Care Compare)
1860 Shawano Ave
Green Bay, WI 54303-2667
Phone (920) 496-4700
Hospital & facility affiliations
- St Marys Hospital Medical Ctr
- St Vincent Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 87 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 135 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729007482 | WI | Practitioner - Internal Medicine | 2961633375 | Reassigns benefits to 6 organizations |
| I20230612002506 | GA | Practitioner - Internal Medicine | 2961633375 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88509 | GA | MD | Internal Medicine Physician |
| 4301100667 | MI | MD | Internal Medicine Physician |
| 63234-20 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current |
Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current |
Accepting new patients | |
| Au Medical Associates Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| St Clare Memorial Hospital, Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
1860 Shawano Ave
Green Bay, WI 54303
Phone (920) 405-1414
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
W180N8085 Town Hall Rd
Fl 3
Menomonee Falls, WI 53051
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444
835 S Main St
Oconto Falls, WI 54154
Phone (920) 846-0509
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Interoperability endpoints
- kadugyamfi93972@ewd.direct.hshs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 63234-20 | WI | |
| Internal Medicine Physician | 207R00000X | 4301100667 | MI | |
| Internal Medicine Physician | 207R00000X | 88509 | GA | |
| Gastroenterology Physician | 207RG0100X | 63234-20 | WI | Yes |
Addresses
Primary practice location
1860 Shawano Ave
Green Bay, WI 54303-2667
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100045953 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kadugyamfi93972@ewd.direct.hshs.org | Direct |
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- Adetunji A Adejumo
- Hillary Adelman
- Stephanie Lynn Adelman
- Advanced Care for Women, SC
- Advanced Chiropractic of Green Bay LLC
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All providers in Green Bay, WI · Gastroenterology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.