Active NPI
Kwadwo O Boadi, MD
- Anesthesiology Physician
- Culpeper, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101241304
- Practice address
- 501 Sunset Lane
Culpeper, VA 22701-3917 - Phone
- (540) 829-4100
- NPI assigned
- Aug 7, 2006
- Last updated
- Aug 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101241304 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 041029 | CT |
Addresses
Primary practice location
501 Sunset Lane
Culpeper, VA 22701-3917
Mailing address
12012 Veirs Mill Rd
Silver Spring, MD 20906-4513
Phone (209) 956-7725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101241304 | VA | MD | Anesthesiology Physician |
| 041029 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia (Virginia), LLC | Anesthesiology | Past | Accepting new patients |
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
12012 Veirs Mill Rd
Silver Spring, MD 20906
Phone (301) 370-0810
Organizations & group practices 7
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.
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
DC
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
-
dba Wanblee Health Center
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1215946363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12012 VEIRS MILL RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209064513",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SUNSET LANE",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227013917",
"telephone_number": "540-829-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOADI",
"first_name": "KWADWO",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101241304",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "041029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culpeper, VA
- Kymberly Angelique Blankenship
- Blue Ridge Anes & Pain Services
- Blue Ridge Cardiovascular Associates
- Blue Ridge Gastroenterology
- Blue Ridge Gynecology & Wellness,Inc
- Jacob P Bode, AG-ACNP
- Shel M Bolyard-Douglas, MSW, LCSW
- Sarah Louise Bonfiglio, CPNP-AC
- Sendy Liliana Bonilla, CNA
- Shana R Bonner, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.