Individual provider Active NPI

Kwaku Owusu-Abrokwa, M.D.

  • Internal Medicine Physician
  • Millinocket, ME
National Provider Identifier
1164628277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
017447 Issued in ME
Practice address
200 Somerset St
Millinocket, ME 04462-1258
Phone
(207) 723-5173
Fax
(207) 723-3347
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 017447 ME Primary

Addresses

Primary practice location

200 Somerset St
Millinocket, ME 04462-1258

Mailing address

200 Somerset St
Millinocket, ME 04462-1258
Phone (207) 723-5173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20070803000201 ME Practitioner - Internal Medicine 4486745593

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Somerset St
Millinocket, ME 04462-1258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017447MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, PA Past Accepting new patients
Penobscot Valley Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164628277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOMERSET ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621258",
            "telephone_number": "207-723-5173",
            "fax_number": "207-723-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOMERSET ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621258",
            "telephone_number": "207-723-5173",
            "fax_number": "207-723-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU-ABROKWA",
        "first_name": "KWAKU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "017447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millinocket, ME

Sources for this page

Verify at the official NPI Registry.