Individual provider Active NPI

Helena Akua Kwakwa, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1366550345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD058142L Issued in PA
Practice address
2840 W Dauphin St
Strawberry Mansion Health Center
Philadelphia, PA 19132-4627
Phone
(215) 685-2400
Fax
(215) 685-2440
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD058142L PA Primary

Addresses

Primary practice location

2840 W Dauphin St
Strawberry Mansion Health Center
Philadelphia, PA 19132-4627

Mailing address

500 S Broad St
Suite 360
Philadelphia, PA 19146-1613
Phone (215) 685-6769

Other identifiers 1

IdentifierTypeStateIssuer
109072MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040116000179 PA Practitioner - Internal Medicine 7517868169 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

2840 W Dauphin St
Philadelphia, PA 19132-4627
Phone (215) 685-2411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD058142LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation Current Accepting new patients
AIDS Care Group CurrentSince Nov 1, 2016 Accepting new patients
City of Philadelphia CurrentSince Apr 5, 2014 Accepting new patients
City of Philadelphia CurrentSince Apr 5, 2014 Accepting new patients
City of Philadelphia Current Accepting new patients
Public Health Management Corporation CurrentSince Mar 1, 2017 Accepting new patients
Newlands Health Current Accepting new patients
AIDS Care Group CurrentSince Nov 1, 2016 Accepting new patients
Public Health Management Corporation CurrentSince Mar 1, 2017 Accepting new patients
Philadelphia Fight Internal Medicine Past Accepting new patients

Locations

2304 Edgmont Ave
Chester, PA 19013
Phone (610) 872-9101

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

1101 Market St
Fl 10
Philadelphia, PA 19107

2840 W Dauphin St
Philadelphia, PA 19132
Phone (215) 685-2400

500 S Broad St
Ste 360
Philadelphia, PA 19146

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

9625 Frankford Ave
Philadelphia, PA 19114
Phone (215) 637-9400

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

Interoperability endpoints

  • Direct secure messaging: helena.kwakwa@pdphahs.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIGHBD/Endpoint/BIGHBD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366550345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S BROAD ST",
            "address_2": "SUITE 360",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461613",
            "telephone_number": "215-685-6769",
            "fax_number": "215-685-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 W DAUPHIN ST",
            "address_2": "STRAWBERRY MANSION HEALTH CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191324627",
            "telephone_number": "215-685-2400",
            "fax_number": "215-685-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAKWA",
        "first_name": "HELENA",
        "middle_name": "AKUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD058142L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109072",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.