Kevin Yeboah, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301509839 Issued in MI

Practice address

Trinity Health Iha Medical Group Neurology Oakland
44555 Woodward Avenue, Suite 104
Pontiac, MI 48341-5032

Phone

(248) 858-6104

Fax

(248) 858-6115

NPI assigned

Jul 22, 2016

Last updated

Sep 13, 2023By 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 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, NY2 enrollments

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 2

Specialty

Neurology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wynn Hospital Hospital, Utica, NY, CCN 330044
• Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.yeboah@hca7.eclinicaldirectplus.com
• Direct secure messaging: kyeboah2890861@direct.trinity-health.org
• Direct secure messaging: kyeboah47260@mvhealthsystem.direct-ci.com

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.

• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  Medicare reassignment Care Compare group NPD
• Iha Olma Specialty Services LLC

  dba THIMG Obstetrics & Gynecology Bloomfield Hills

  • Obstetrics & Gynecology Physician
  • Bloomfield Township, MI
  • NPI 1457949588
  Medicare reassignment NPD
• Iha Olma Specialty Services LLC

  dba Trinity Health IHA Medical Group Neurosurgery

  • Neurological Surgery Physician
  • Pontiac, MI
  • NPI 1033899174
  NPD
• Iha Olma Specialty Services LLC

  dba IHA Neurology Oakland

  • Neurology Physician
  • Pontiac, MI
  • NPI 1982369203
  NPD
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD
• St Louis University

  dba SLUCare Sight & Sound Center

  • Optician
  • Saint Louis, MO
  • NPI 1487869863
  NPD (past)

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

• MVHS Inc

  dba Wynn Hospital

  • General Acute Care Hospital
  • Utica, NY
  • NPI 1205877172
  Care Compare affiliation
• Rome Memorial Hospital

  dba Delta Medical

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1700121894

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rome, NY
  • NPI 1306807193

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Boonville, NY
  • NPI 1336100767

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Regional Wound Care Center

  • Clinic/Center
  • Rome, NY
  • NPI 1356689004

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Camden Family Care

  • Primary Care Clinic/Center
  • Camden, NY
  • NPI 1891113965

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Rome, NY
  • NPI 1952362741

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Rome, NY
  • NPI 1376546440
  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  dba Chestnut Commons

  • Physical Therapy Clinic/Center
  • Rome, NY
  • NPI 1851489330

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1356794564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "972-566-5411",
            "fax_number": "972-519-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRINITY HEALTH IHA MEDICAL GROUP NEUROLOGY OAKLAND",
            "address_2": "44555 WOODWARD AVENUE, SUITE 104",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415032",
            "telephone_number": "248-858-6104",
            "fax_number": "248-858-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Coit Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756171",
            "country_code": "US",
            "telephone_number": "972-566-5411",
            "fax_number": "972-519-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEBOAH",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2023-09-13",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "T0150",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301509839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KEVIN.YEBOAH@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1600 Coit Rd Ste 104",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750756171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bashar G Yaldo, MD
• Jennifer Yang
• Selena Yang
• Reem Yassine, DO
• Bertina Maria Yates, LPC, NCC
• Dina Yermakhanova, MD
• Rachel Yoder, DC
• Rachel Yoder, MSN, CRNA
• Yamuna Yoganathan, MD
• Bryce Young, DO

• Neurology Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.