Active NPI
Kofi Owusu Kumi, MD
- Specialist
- Natchez, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15330
- Practice address
- 55 SGT Prentiss Dr
100
Natchez, MS 39120-4782 - Phone
- (601) 304-0020
- Fax
- (601) 304-0023
- NPI assigned
- Aug 12, 2006
- Last updated
- May 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15330 | MS | Primary |
Addresses
Primary practice location
55 SGT Prentiss Dr
100
Natchez, MS 39120-4782
Mailing address
55 SGT Prentiss Dr
100
Natchez, MS 39120-4782
Phone (601) 304-0020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00118246 | Medicaid | MS | |
| 640892171 | Other | MS | FEDERAL TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1643 NW 136 Ave
Sunrise, FL 33323-2857
4 Red Fox Dr
Natchez, MS 39120-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15330 | MS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of Louisiana PC | Current | Accepting new patients | |
| Obhg Mississippi, P.C. | Current | Accepting new patients | |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Natchez Hospital Company LLC | Past | Accepting new patients | |
| Miss-Lou OB-GYN Ctr,, Inc | Past | Accepting new patients | |
| Rush Medical Foundation | Past | Accepting new patients |
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
501 Medical Center Dr
Alexandria, LA 71301
Phone (318) 443-6336
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Meridian, MS
- NPI 1609820539
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1083995674
-
- Obstetrics & Gynecology Physician
- Alexandria, LA
- NPI 1013303056
-
dba Ochsner Rush Medical Center Emergency Room Professional Services
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
-
- Medical Specialty Clinic/Center
- Natchez, MS
- NPI 1316383433
-
dba Merit Health Natchez
- General Acute Care Hospital
- Natchez, MS
- NPI 1164821559
-
dba Ochsner Rush Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Merit Health Natchez
- General Acute Care Hospital
- Natchez, MS
- NPI 1164821559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1417969338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SGT PRENTISS DR",
"address_2": "100",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204782",
"telephone_number": "601-304-0020",
"fax_number": "601-304-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SGT PRENTISS DR",
"address_2": "100",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204782",
"telephone_number": "601-304-0020",
"fax_number": "601-304-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMI",
"first_name": "KOFI",
"middle_name": "OWUSU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "15330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118246",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "640892171",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.