Active NPI
Audrey Achiaa Boadu, M.D
- Internal Medicine Physician
- Silver Spring, MD
National Provider Identifier
1174225353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0107299
- Practice address
- 700 Roeder Rd # 100B
Silver Spring, MD 20910-4405 - Phone
- (301) 593-7792
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0107299 | MD | Primary |
Addresses
Primary practice location
700 Roeder Rd # 100B
Silver Spring, MD 20910-4405
Mailing address
1750 Sedgwick Ave Apt 18H
Bronx, NY 10453-6617
Phone (347) 200-1251
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230911003707 | CT | Order and Referring Only - Internal Medicine | 1557725454 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- aboadu2995534@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1174225353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 SEDGWICK AVE APT 18H",
"city": "BRONX",
"state": "NY",
"postal_code": "104536617",
"telephone_number": "347-200-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ROEDER RD # 100B",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104405",
"telephone_number": "301-593-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOADU",
"first_name": "AUDREY",
"middle_name": "ACHIAA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0107299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.