NPIMap

Individual provider Active NPI

Stella Yaa Awua-Larbi, M.D.

  • Nephrology Physician
  • Joliet, IL
National Provider Identifier
1316117443
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036118915 Issued in IL
Practice address
812 Campus Dr
Joliet, IL 60435-5128
Phone
(815) 741-6830
Fax
(815) 741-6832
NPI assigned
Mar 4, 2008
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036118915 IL
Nephrology Physician 207RN0300X 036118915 IL Primary

Addresses

Primary practice location

812 Campus Dr
Joliet, IL 60435-5128

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20080627000544 IL Practitioner - NephrologyPractitioner - Internal Medicine 1557433083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Germane Nephrology AssociatesGroup PAC ID 0446223838, 9 clinicians

Practice addresses (Care Compare)

812 Campus Dr
Joliet, IL 60435-5128
Phone (815) 741-6830

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036118915ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epsilon Kidney Care, PC Nephrology Current Accepting new patients
Epsilon Kidney Care PC Nephrology CurrentSince Oct 13, 2022 Accepting new patients
Golden State Epsilon Kidney Care PC Nephrology CurrentSince Dec 12, 2023 Accepting new patients
Home Dialysis Services Frankfort LLC Past Accepting new patients
Home Dialysis Services LLC Past Accepting new patients

Organizations & group practices 6

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1316117443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7171",
            "fax_number": "815-741-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CAMPUS DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355128",
            "telephone_number": "815-741-6830",
            "fax_number": "815-741-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUA-LARBI",
        "first_name": "STELLA",
        "middle_name": "YAA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036118915",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036118915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.