Active NPI
Kwabena Ayesu, MD
- Internal Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME87178
- Practice address
- 21 W Columbia St
MP 160
Orlando, FL 32806-1133 - Phone
- (321) 841-6600
- Fax
- (321) 841-4085
- NPI assigned
- Nov 8, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME87178 | FL | Primary |
Addresses
Primary practice location
21 W Columbia St
MP 160
Orlando, FL 32806-1133
Mailing address
21 W Columbia St
MP 160
Orlando, FL 32806-1133
Phone (321) 841-6600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 562500290 | Other | FL | TAX ID # |
| P00269607 | Other | FL | RAILROAD MEDICARE |
| 81108B | Other | FL | BCBS |
| ME87178 | Other | FL | MEDICAL LICENSE |
| 268001700 | Medicaid | FL | |
| 4557320 | Other | FL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-5560
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sigma Medical Group, LLC | Current | Accepting new patients | |
| Internal Medicine at Debary LLC | Internal Medicine | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Kwabena Ayesu M D P a | Internal Medicine | Past | Accepting new patients |
| Orlando Health Inc | Internal Medicine | Past | Accepting new patients |
| Orlando Health Inc | Internal Medicine | Past | Accepting new patients |
| Mid-Florida Rheumatology LLC | Past | Accepting new patients |
Locations
21 Columbia St
#160
Orlando, FL 32806
Phone (321) 841-6600
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- kayesu25958@orlandohealth.medalliesdirect.net
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- Debary, FL
- NPI 1740088780
-
- Internal Medicine Physician
- Debary, FL
- NPI 1659563146
-
- Rheumatology Physician
- Orlando, FL
- NPI 1972069946
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Family Medicine Physician
- Orlando, FL
- NPI 1831627579
-
dba Orlando Regional Pediatric Anesthesia Consultants
- Pediatric Anesthesiology Physician
- Orlando, FL
- NPI 1457489767
Internal Medicine
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1487691259
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1225019284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 W COLUMBIA ST",
"address_2": "MP 160",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061133",
"telephone_number": "321-841-6600",
"fax_number": "321-841-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W COLUMBIA ST",
"address_2": "MP 160",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061133",
"telephone_number": "321-841-6600",
"fax_number": "321-841-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYESU",
"first_name": "KWABENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME87178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "562500290",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00269607",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "81108B",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME87178",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268001700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4557320",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.