Individual provider Active NPI

Baah Asante, MD

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1396746087
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
220346 Issued in NY
Practice address
3130 Grand Concourse Ste 1K
Bronx, NY 10458-1263
Phone
(718) 513-3536
Fax
(347) 591-0201
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 220346 NY Primary

Addresses

Primary practice location

3130 Grand Concourse Ste 1K
Bronx, NY 10458-1263

Mailing address

3130 Grand Concourse Ste 1K
Bronx, NY 10458-1263
Phone (718) 513-3536

Other identifiers 1

IdentifierTypeStateIssuer
02313362MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040405000000 NY Practitioner - Pediatric MedicinePractitioner - Preventive Medicine 2264425636 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Vernon Neighborhood Health Center Inc CurrentSince Jan 16, 2007 Accepting new patients
Mount Vernon Neighborhood Health Center, Inc. CurrentSince Jan 16, 2007 Accepting new patients
Van Cortlandt Medical Office Pediatrics CurrentSince Oct 15, 2023 Accepting new patients
Mount Vernon Neighborhood Health Center, Inc. Past Accepting new patients

Locations

3130 Grand Concourse
Ste 1K
Bronx, NY 10458
Phone (718) 365-7255

107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1396746087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE STE 1K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581263",
            "telephone_number": "718-513-3536",
            "fax_number": "347-591-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE STE 1K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581263",
            "telephone_number": "718-513-3536",
            "fax_number": "347-591-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASANTE",
        "first_name": "BAAH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "220346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02313362",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.