Isaac O Bofah Jr.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2018019303 Issued in OH

Practice address

1440 Rockside Rd Ste 314
Parma, OH 44134-2749

Phone

(216) 220-7557

NPI assigned

Aug 20, 2018

Last updated

Sep 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Dicen Behavioral Health, LLCGroup PAC ID 1355833633, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ibofah615734@ehrdirect.uhhospitals.org

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.

• Dicen Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parma Heights, OH
  • NPI 1013706068
  Medicare reassignment Care Compare group NPD
• Rod Comforters

  • Psychiatric/Mental Health Nurse Practitioner
  • Parma, OH
  • NPI 1710545900
  Medicare reassignment NPD Authorized official
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment Care Compare group NPD
• Rakesh Ranjan M.D. & Assoc., Inc.

  dba Charak Center for Health and Wellness

  • Clinical Medical Laboratory
  • Garfield Heights, OH
  • NPI 1033143722

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH, Psychiatric/Mental Health

  Medicare reassignment NPD
• Rakesh Ranjan MD & Associates, Inc.

  dba CCHW Pharmacy

  • Specialty Pharmacy
  • Garfield Heights, OH
  • NPI 1225435597
  NPD
• Kelli Anne Chamberlain

  • Psychiatric/Mental Health Registered Nurse
  • Garfield HTS, OH
  • NPI 1013418458
  NPD (past)

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

• University Hospitals Cleveland Medical Center

  dba Uhcmc

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1043397292
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba University Hospitals Mentor Health Center

  • Multi-Specialty Clinic/Center
  • Mentor, OH
  • NPI 1487770335

  Hospital

  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba University Hospitals Westlake Health Center

  • Multi-Specialty Clinic/Center
  • Westlake, OH
  • NPI 1669598082

  Hospital

  Care Compare affiliation
• University Hospitals of Cleveland

  dba UH Case Medical Center

  • Clinic/Center
  • Cleveland, OH
  • NPI 1760673412

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1316427172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 STRATFORD DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295509",
            "telephone_number": "646-784-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 314",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-220-7557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12395 McCracken Rd",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441252967",
            "country_code": "US",
            "telephone_number": "216-587-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOFAH",
        "first_name": "ISAAC",
        "middle_name": "O",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "2018019303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Bochenek, DO
• Mallory Boden, MOT, OTR/L
• Ashley Bodossian, LPN
• Ana De Freitas Boe
• Charles Henry Boester, DDS, MS
• Pooja Boghara, PHARMD
• Nicholas Bohatch
• Morgan Boiani
• Connie Bolwin
• Richard Alan Bon, RPH

• Psychiatric/Mental Health Nurse Practitioner in Parma, OH
• Providers in Parma, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.
• 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.

Verify at the official NPI Registry.