Active NPI
Kwasi Y Kwaadu, D.P.M
- Podiatrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC006121
- Practice address
- 148 N 8TH Street
Philadelphia, PA 19107-2496 - Phone
- (215) 625-5341
- Fax
- (215) 629-0716
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC006121 | PA | Primary |
| Public Medicine Podiatrist | 213EP0504X | SC006121 | PA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC006121 | PA | |
| Radiology Podiatrist | 213ER0200X | SC006121 | PA | |
| Sports Medicine Podiatrist | 213ES0000X | SC006121 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006121 | PA | |
| Foot Surgery Podiatrist | 213ES0131X | SC006121 | PA |
Addresses
Primary practice location
148 N 8TH Street
Philadelphia, PA 19107-2496
Mailing address
148 N 8TH Street
Philadelphia, PA 19107-2496
Phone (215) 238-6600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102711775 | Medicaid | PA | |
| 3884275000 | Other | PA | IBX |
| 9152882 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371
701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 269-1914
755 N Broadway
Sleepy Hollow, NY 10591-1075
Phone (516) 734-8900
Hospital & facility affiliations
- Northern Westchester Hospital
- Phelps Hospital
- Temple University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006121 | PA | MD | Podiatrist |
| 007477 | NY | MD | Driving and Community Mobility Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple University of the Commonwealth System of Higher Education | Podiatrist | Current | Accepting new patients |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Temple University of the Commonwealth System of Higher Education | Past | Accepting new patients |
Locations
300 Community Dr
Plandome, NY 11030
755 N Broadway
Ste 230
Sleepy Hollow, NY 10591
Phone (914) 362-6278
3223 N Broad St
Ste 150
Philadelphia, PA 19140
Phone (215) 777-5713
148 N 8th St
Philadelphia, PA 19107
Phone (215) 238-6600
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Podiatrist
- Philadelphia, PA
- NPI 1265446983
-
- Dental Clinic/Center
- Philadelphia, PA
- NPI 1841268604
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1275157455
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1275682148
Hospital
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1356981443
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1871368654
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1932813789
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1962579029
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
-
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1396973152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 N 8TH STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072496",
"telephone_number": "215-238-6600",
"fax_number": "215-629-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 N 8TH STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072496",
"telephone_number": "215-625-5341",
"fax_number": "215-629-0716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAADU",
"first_name": "KWASI",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC006121",
"primary": true
},
{
"code": "213EP0504X",
"taxonomy_group": "",
"desc": "Podiatrist, Public Medicine",
"state": "PA",
"license": "SC006121",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "PA",
"license": "SC006121",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "PA",
"license": "SC006121",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "PA",
"license": "SC006121",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006121",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC006121",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102711775",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBX",
"identifier": "3884275000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9152882",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.