Individual provider Active NPI

Edward Amoah, M.D.

  • Internal Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1336101450
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME88213 Issued in FL
Practice address
27455 Cashford Cir
Wesley Chapel, FL 33544-6901
Phone
(813) 948-5810
Fax
(813) 948-5212
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME88213 FL Primary

Addresses

Primary practice location

27455 Cashford Cir
Wesley Chapel, FL 33544-6901

Mailing address

PO Box 47023
#3
Tampa, FL 33646-0109
Phone (813) 948-5810

Other identifiers 1

IdentifierTypeStateIssuer
268830100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040320000016 FL Practitioner - Internal Medicine 0042106627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27455 Cashford Cir
Wesley Chapel, FL 33544-6901
Phone (813) 948-5810

27455 Cashford Circle
Wesley Chapel, FL 33544-6901

Hospital & facility affiliations

  • Pinnacle Home Care Inc Home health agency, Trinity, FL, CCN 107797
  • Baycare Home Care Inc Home health agency, Tampa, FL, CCN 107285
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Amoah MD PA CurrentSince Dec 1, 2003 Accepting new patients
Premier Heart and Vascular Center, PA Internal Medicine Past Accepting new patients

Locations

5208 E Fowler Ave
Ste E
Temple Terrace, FL 33617
Phone (813) 979-2008

27455 Cashford Cir
Wesley Chapel, FL 33544
Phone (813) 906-6554

Interoperability endpoints

  • Direct secure messaging: edward.amoah.p4@direct.painreliefcenters.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGIGDD/Endpoint/EGIGDD

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1336101450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47023",
            "address_2": "#3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460109",
            "telephone_number": "813-948-5810",
            "fax_number": "813-948-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27455 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446901",
            "telephone_number": "813-948-5810",
            "fax_number": "813-948-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOAH",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268830100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.