Individual provider Active NPI

Folake J Kofo-Idowu, M.D

  • Infectious Disease Physician
  • Altoona, PA
National Provider Identifier
1174937858
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35.144075 Issued in OH
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(240) 437-2031
Fax
(706) 721-9286
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 83362 GA
Infectious Disease Physician 207RI0200X 35.144075 OH Primary

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

620 Howard Ave
Altoona, PA 16601-4804

Other practice location 1

405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-4720

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address flawal871310@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20260429004456 OK Practitioner - Internal MedicinePractitioner - Infectious Disease 2668775248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Healthcare Services LLCGroup PAC ID 7618400557, 33 clinicians

Practice addresses (Care Compare)

1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Nov 16, 2019 Accepting new patients
Augusta University CurrentSince Mar 1, 2020 Accepting new patients
Au Medical Associates Inc CurrentSince Aug 1, 2019 Accepting new patients
Upmc Altoona CurrentSince Nov 21, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince May 30, 2024 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Feb 3, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 15, 2024 Accepting new patients
Upmc Altoona CurrentSince Nov 21, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Aug 1, 2019 Accepting new patients
Columbus Regional Health Network Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

997 Saint Sebastian Way
Augusta, GA 30912
Phone (706) 721-3141

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1174937858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "fax_number": "706-721-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "240-437-2031",
            "fax_number": "706-721-9286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454057538",
            "country_code": "US",
            "telephone_number": "937-723-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOFO-IDOWU",
        "first_name": "FOLAKE",
        "middle_name": "J",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "83362",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35.144075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "flawal871310@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "405 W Grand Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454057538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "405 W Grand Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454057538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.