Active NPI
Kwamena Fynn Nunoo
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1255934865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14561
- Practice address
- Harlem Hospital
506 Lenox Avenue
New York, NY 10037-1802 - Phone
- (212) 939-1406
- Fax
- (212) 939-1462
- NPI assigned
- Nov 17, 2020
- 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 | 14561 | SD | Primary |
Addresses
Primary practice location
Harlem Hospital
506 Lenox Avenue
New York, NY 10037-1802
Mailing address
246 Kearney Avenue
New York
Bronx, NY 10465
Phone (646) 474-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230914003485 | SD | Practitioner - Hospitalist | 5698139269 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sacred Heart Health Services
Practice addresses (Care Compare)
1000 W 4TH St
Suite 8
Yankton, SD 57078-3700
501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795
Hospital & facility affiliations
- Avera @ Home
- Avera Sacred Heart Hospital
- St Michael'S Hospital - Cah
- Avera McKennan Hospital & University Health Center
- Avera Creighton Hospital
- Avera Heart Hospital of South Dakota
- Avera Sacred Heart Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14561 | SD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health Services | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Sacred Heart Health Services | Past | Accepting new patients |
Locations
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
Organizations & group practices 19
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.
-
- Rural Acute Care Hospital
- Yankton, SD
- NPI 1770693954
-
- Ambulatory Surgical Clinic/Center
- Yankton, SD
- NPI 1013877927
-
- Family Medicine Physician
- Creighton, NE
- NPI 1083918171
-
- Critical Access Hospital
- Creighton, NE
- NPI 1225332471
-
- Rural Health Clinic/Center
- Crofton, NE
- NPI 1316206949
-
- Rural Health Clinic/Center
- Pierce, NE
- NPI 1336408913
-
- Rural Health Clinic/Center
- Verdigre, NE
- NPI 1376847541
-
- Foot & Ankle Surgery Podiatrist
- Yankton, SD
- NPI 1508093147
-
- Rural Health Clinic/Center
- Hartington, NE
- NPI 1518226190
-
- Durable Medical Equipment & Medical Supplies
- Yankton, SD
- NPI 1639030570
-
- Nursing Facility/Intermediate Care Facility
- Creighton, NE
- NPI 1811291909
Hospital & facility affiliations 36
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": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1255934865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 KEARNEY AVENUE",
"address_2": "NEW YORK",
"city": "BRONX",
"state": "NY",
"postal_code": "10465",
"telephone_number": "646-474-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HARLEM HOSPITAL",
"address_2": "506 LENOX AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371802",
"telephone_number": "212-939-1406",
"fax_number": "212-939-1462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNOO",
"first_name": "KWAMENA",
"middle_name": "FYNN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-17",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "14561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.