Nana Yaw Ampaw Adu-Sarkodie, MD, MPH
Individual provider Active NPI Family Medicine Physician · Baltimore, MD
NPI 1164699310 · NPPES record last updated Aug 23, 2016
Key facts
- NPI
- 1164699310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0074827 (MD)
- Practice address
- 4924 Campbell Blvd
Suite 125
Baltimore, MD 21236-5908 - Phone
- (443) 461-1997
- Fax
- (443) 461-1998
- NPI assigned
- May 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20121210000355 | MD | Practitioner - Family Practice | 4789854605 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollis Seunarine Mdpa LLC | Family Medicine | Current |
Accepting new patients |
| Parish Hospital Service District for the Parish of Orleans Dist a | Past | Accepting new patients |
Locations
5010 York Rd
Baltimore, MD 21212
Phone (410) 433-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.204607 | LA | |
| Family Medicine Physician | 207Q00000X | D0074827 | MD | Yes |
Addresses
Primary practice location
4924 Campbell Blvd
Suite 125
Baltimore, MD 21236-5908
Mailing address
3900 Loch Raven Blvd
Building 2
Baltimore, MD 21218-2108
Phone (410) 605-7620
Other providers in Baltimore, MD
- Adore Health and Wellness
- Adore Mental Health & Addiction Clinic Inc
- Adrian a Sanchez DDS PA
- Jaden Adrien
- Jonell Adu-Gyamfi
- Akwasi Ofori Aduboffour
- Dilys Osei Aduboffour
- Adullum Community Healthcare Center, Inc.
- Adult & Pediatric Urology Group of Maryland LLC
- Adult Day Health, Inc.
All providers in Baltimore, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2016. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.