Individual provider Active NPI

George Fosu Baah, DPM

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1285811133
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0062471 Issued in NY
Practice address
1531 Metropolitan Ave
Bronx, NY 10462-6127
Phone
(718) 597-3111
NPI assigned
Jan 23, 2008
Last updated
Jan 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0062471 NY Primary

Addresses

Primary practice location

1531 Metropolitan Ave
Bronx, NY 10462-6127

Mailing address

97-11 Horace Harding Expressway
#4J
Corona, NY 11368-4704
Phone (347) 239-2606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000346 NY Practitioner - Podiatry 8325112196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillside Polymedic Diagnostic and Treatment Center IncGroup PAC ID 5496977910, 8 clinicians

Practice addresses (Care Compare)

187 -30 Hillside Ave
Jamaica, NY 11432-3216

187 30 Hillside Ave
Jamaica, NY 11432-3216

18730 Hillside Ave
Jamaica, NY 11432-3216
Phone (718) 264-1111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue258
Removal or shaving of skin growth254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0062471NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect-Foot and Ankle Specialist PC Podiatrist Current Accepting new patients
Hillside Polymedic P.C. Past Accepting new patients
Aghomd, PLLC PastSince May 29, 2022 Accepting new patients

Locations

825 Boynton Ave
Apt 1D
Bronx, NY 10473
Phone (718) 861-2121

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: georgeb@hillsidepolymedic.medentdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1285811133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97-11 HORACE HARDING EXPRESSWAY",
            "address_2": "#4J",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684704",
            "telephone_number": "347-239-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 METROPOLITAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626127",
            "telephone_number": "718-597-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAH",
        "first_name": "GEORGE",
        "middle_name": "FOSU",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0062471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.