NPIMap

Individual provider Active NPI

Elom Dowuin Amoussou-Kpeto, M.D.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1194164780
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD458475 Issued in PA
Practice address
2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone
(717) 544-0150
NPI assigned
Jun 18, 2013
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD458475 PA Primary

Addresses

Primary practice location

2118 Spring Valley Rd
Lancaster, PA 17601-2427

Mailing address

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (717) 544-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161201001430 PA Practitioner - Family Practice 2264712629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (717) 544-0150

701 E Marshall St
West Chester, PA 19380-4412
Phone (610) 431-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD458475PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Oct 3, 2016 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Oct 3, 2016 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 20, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Jun 20, 2020 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Family Medicine Current Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients

Locations

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1194164780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-544-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-544-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOUSSOU-KPETO",
        "first_name": "ELOM",
        "middle_name": "DOWUIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD458475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.