Individual provider Active NPI

Kwabena Osei-Bonsu Jr.

  • Internal Medicine Physician
  • Seaford, DE
National Provider Identifier
1366964306
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0024057 Issued in DE
Practice address
1507 Middleford Rd
Seaford, DE 19973-3615
Phone
(302) 629-4569
Fax
(302) 628-4669
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 C1-0024057 DE Primary

Addresses

Primary practice location

1507 Middleford Rd
Seaford, DE 19973-3615

Mailing address

10 W Laurel St
Georgetown, DE 19947-1424
Phone (302) 855-0915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20210513001064 DE Practitioner - Internal Medicine 0345510145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apogee Medical Group Delaware IncGroup PAC ID 9638312572, 94 clinicians

Practice addresses (Care Compare)

801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611

Hospital & facility affiliations

  • Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
  • Aveanna Home Healthcare Home health agency, Milford, DE, CCN 087039
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seaford Internal Medicine LLC CurrentSince May 1, 2021 Accepting new patients
Seaford Internal Medicine LLC Internal Medicine CurrentSince May 1, 2021 Accepting new patients

Locations

10 W Laurel St
Georgetown, DE 19947
Phone (302) 855-0915

1507 Middleford Rd
Seaford, DE 19973
Phone (302) 629-4569

1501 Middleford Rd
Seaford, DE 19973
Phone (302) 378-1022

Organizations & group practices 3

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 5

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1366964306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W LAUREL ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471424",
            "telephone_number": "302-855-0915",
            "fax_number": "302-855-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733615",
            "telephone_number": "302-629-4569",
            "fax_number": "302-628-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEI-BONSU",
        "first_name": "KWABENA",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0024057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.